RONALD FULTON GODAT D.D.S. M.S. NPI 1558588848

NPI Information

Ronald Fulton Godat, D.D.S., M.S. is a periodontics dentist in Kingsport, TN. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. Ronald Fulton Godat, D.D.S., M.S. NPI is 1558588848. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

210 LOCKPORT CIR
KINGSPORT, TN
ZIP 37664-278
Phone: (423) 239-3993
Fax: (423) 239-9499

The enumeration date for this NPI number is 4/19/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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