Active NPI
Ronnie L Hold DDS PC
- General Practice Dentistry
- Blue Ridge, GA
National Provider Identifier
1033424577
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 11866
- Legal business name
- RONNIE L HOLD DDS PC
- Practice address
- 823 E Main St
Blue Ridge, GA 30513-4575 - Phone
- (706) 632-2085
- Fax
- (706) 632-8685
- NPI assigned
- Aug 9, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Renee Davenport
- Title
- Office Manager
- Phone
- (706) 632-2085
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 11866 | GA | Primary |
| General Practice Dentistry | 1223G0001X | DN009036 | GA | |
| General Practice Dentistry | 1223G0001X | DN010761 | GA |
Addresses
Primary practice location
823 E Main St
Blue Ridge, GA 30513-4575
Mailing address
823 E Main St
Blue Ridge, GA 30513-4575
Phone (706) 632-2085
National Provider Directory
National Provider DirectoryLocations
823 E Main St
Blue Ridge, GA 30513
Phone (706) 632-2085
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Blue Ridge, GA
- NPI 1154203834
-
- General Practice Dentistry
- Blue Ridge, GA
- NPI 1033288287
-
- General Practice Dentistry
- Jasper, GA
- NPI 1285375592
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281312000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1281312000000",
"number": "1033424577",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "823 E MAIN ST",
"city": "BLUE RIDGE",
"state": "GA",
"postal_code": "305134575",
"telephone_number": "706-632-2085",
"fax_number": "706-632-8685"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "823 E MAIN ST",
"city": "BLUE RIDGE",
"state": "GA",
"postal_code": "305134575",
"telephone_number": "706-632-2085",
"fax_number": "706-632-8685"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RONNIE L HOLD DDS PC",
"organizational_subpart": "NO",
"enumeration_date": "2010-08-09",
"last_updated": "2010-08-09",
"status": "A",
"authorized_official_last_name": "DAVENPORT",
"authorized_official_first_name": "RENEE",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "706-632-2085"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "GA",
"license": "11866",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "GA",
"license": "DN009036",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "GA",
"license": "DN010761",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Blue Ridge, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.