RONALD D JESSUP DMD PC NPI 1396706669

NPI Information

  • NPI: 1396706669
  • Provider Name: RONALD D JESSUP DMD PC
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Doing Business As: GENTLE FAMILY DENTISTRY
  • Address: 14245 LEE HWY
    BRISTOL, VA
    ZIP 24202
  • Phone: (276) 628-8164

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NPI Details

RONALD D JESSUP DMD PC is a general practice dentist in Bristol, VA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. RONALD D JESSUP DMD PC NPI is 1396706669. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Gentle Family Dentistry.

The provider's business location address is:

14245 LEE HWY
BRISTOL, VA
ZIP 24202-317
Phone: (276) 628-8164
Fax: (276) 644-3145

The provider's authorized official is Ronald D Jessup .
The authorized official title is Owner and has the following contact phone number (276) 628-8164.

The enumeration date for this NPI number is 3/28/2006 and was last updated on 7/10/2013.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral Practice1223G0001XVIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1164996MEDICAIDVIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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