Provider Demographics
NPI:1780703629
Name:RINGLAND, KATHRYN ANN (DDS)
Entity type:Individual
Prefix:
First Name:KATHRYN
Middle Name:ANN
Last Name:RINGLAND
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1618 EDITH ESPLANADE
Mailing Address - Street 2:
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33904-5614
Mailing Address - Country:US
Mailing Address - Phone:239-549-9820
Mailing Address - Fax:239-489-4336
Practice Address - Street 1:9400 GLADIOLUS DR
Practice Address - Street 2:107
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33908-6699
Practice Address - Country:US
Practice Address - Phone:239-489-1171
Practice Address - Fax:239-489-4336
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL0133661223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice