Provider Demographics
NPI:1952590333
Name:NORRIS, RAMONA G (RDH)
Entity Type:Individual
Prefix:MRS
First Name:RAMONA
Middle Name:G
Last Name:NORRIS
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:178 IRELAND
Mailing Address - Street 2:
Mailing Address - City:SPRINGDALE
Mailing Address - State:AR
Mailing Address - Zip Code:72762-4162
Mailing Address - Country:US
Mailing Address - Phone:479-419-5242
Mailing Address - Fax:
Practice Address - Street 1:2707 W HUNTSVILLE AVE
Practice Address - Street 2:
Practice Address - City:SPRINGDALE
Practice Address - State:AR
Practice Address - Zip Code:72762-7723
Practice Address - Country:US
Practice Address - Phone:479-756-8631
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-10-22
Last Update Date:2007-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR0994124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist