Provider Demographics
NPI:1023306487
Name:ADLEMAN, RONALD GLENN (DDS)
Entity type:Individual
Prefix:DR
First Name:RONALD
Middle Name:GLENN
Last Name:ADLEMAN
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 1:11800 FAIRLINGTON LN
Mailing Address - Street 2:
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:VA
Mailing Address - Zip Code:23113-2103
Mailing Address - Country:US
Mailing Address - Phone:804-350-5842
Mailing Address - Fax:
Practice Address - Street 1:11549 NUCKOLS RD STE A
Practice Address - Street 2:
Practice Address - City:GLEN ALLEN
Practice Address - State:VA
Practice Address - Zip Code:23059-5664
Practice Address - Country:US
Practice Address - Phone:804-527-2982
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-19
Last Update Date:2011-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0401004611122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist