RONALD F GODAT DDS MS PC NPI 1568561231

NPI Information

RONALD F GODAT DDS MS PC 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 F GODAT DDS MS PC NPI is 1568561231. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

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

The provider's authorized official is Ronald Fulton Godat .
The authorized official title is President and has the following contact phone number (423) 239-3993.

The enumeration date for this NPI number is 9/21/2006 and was last updated on 8/22/2020.

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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