Provider Demographics
NPI:1770563157
Name:DESKIN, RONALD G (DDS)
Entity type:Individual
Prefix:DR
First Name:RONALD
Middle Name:G
Last Name:DESKIN
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 1:4527 RAINBOW BLVD.
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66103
Mailing Address - Country:US
Mailing Address - Phone:913-432-0765
Mailing Address - Fax:913-432-6022
Practice Address - Street 1:4527 RAINBOW BLVD
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66103-3428
Practice Address - Country:US
Practice Address - Phone:913-432-0765
Practice Address - Fax:913-432-6022
Is Sole Proprietor?:No
Enumeration Date:2006-01-20
Last Update Date:2008-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS5825122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS74-2848785OtherTAX ID NUMBER