| Provider / Organization | NPI | Date Certified |
|---|---|---|
| RONALD EDWARD DURIE | 1467006510 | 2021-06-06 |
Ronald Edward Durie is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1467006510. Registration indicates Ronald Edward Durie is a provider of access to dentists-general services with a specialization in Dental Providers, Dentist (Dental Providers, Dentist) (Dentist: General Practice, ) (Dental, ) (Dentist General Practice, Dental Providers) (Dentist, )
| Registration | PART-B:Y DME:Y HHA:Y PMD:N |
| Entity Type | Individual |
| Provider Name | Dr. Ronald Edward Durie Jr. DMD |
| Practice Office Address | 1955 N COBB PKWY NW STE 110 KENNESAW, GA US |
| Practice Office Telephone | 7707998964 |
| Mailing Address | 1955 N COBB PKWY NW STE 110 KENNESAW, GA 301524503 US |
| Business Telephone | 7707998964 |
| Code | Practice | License No State |
|---|---|---|
| 1223G0001X PRIMARY | Access to Dentists-General Dental Providers Dentist Dental Providers Dentist Dentist: General Practice Dental Dentist General Practice Dental Providers Dentist | DN015884
GA |