Provider Demographics
NPI:1295970044
Name:CHENETTE, RONALD RICHARD (DMD)
Entity type:Individual
Prefix:DR
First Name:RONALD
Middle Name:RICHARD
Last Name:CHENETTE
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:650 W BALTIMORE ST
Mailing Address - Street 2:UNIVERSITY OF MARYLAND DENTAL SCHOOL
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21201-1510
Mailing Address - Country:US
Mailing Address - Phone:410-706-7775
Mailing Address - Fax:410-706-3028
Practice Address - Street 1:650 WEST BALTIMORE STREET 5 SOUTH ROOM 5215
Practice Address - Street 2:UNIVERSITY OF MARYLAND DENTAL SCHOOL
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21201-1586
Practice Address - Country:US
Practice Address - Phone:410-706-8125
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-09
Last Update Date:2016-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD9180122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist