Provider Demographics
NPI:1245249309
Name:SCHOWENGERDT, RONALD DEAN (DDS)
Entity type:Individual
Prefix:DR
First Name:RONALD
Middle Name:DEAN
Last Name:SCHOWENGERDT
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 1:1701 W AUSTIN BLVD
Mailing Address - Street 2:
Mailing Address - City:NEVADA
Mailing Address - State:MO
Mailing Address - Zip Code:64772-3720
Mailing Address - Country:US
Mailing Address - Phone:417-667-7134
Mailing Address - Fax:417-667-4127
Practice Address - Street 1:1701 W AUSTIN BLVD
Practice Address - Street 2:
Practice Address - City:NEVADA
Practice Address - State:MO
Practice Address - Zip Code:64772-3720
Practice Address - Country:US
Practice Address - Phone:417-667-7134
Practice Address - Fax:417-667-4127
Is Sole Proprietor?:No
Enumeration Date:2006-08-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO015273122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist