Provider Demographics
NPI:1972669075
Name:FRENCH, RONALD D (DDS)
Entity Type:Individual
Prefix:DR
First Name:RONALD
Middle Name:D
Last Name:FRENCH
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4604 S HARVARD AVE STE D
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74135-2912
Mailing Address - Country:US
Mailing Address - Phone:918-743-6158
Mailing Address - Fax:918-743-6150
Practice Address - Street 1:4604 S HARVARD AVE STE D
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74135-2912
Practice Address - Country:US
Practice Address - Phone:918-743-6158
Practice Address - Fax:918-743-6150
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK42311223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice