Ronnie G. Davidson II DMD PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7363 Issued in NC

Legal business name

RONNIE G. DAVIDSON II DMD PA

Practice address

134 N. Magnolia St.
Mooresville, NC 28115

Phone

(704) 663-1800

Fax

(704) 662-9569

NPI assigned

Oct 29, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ronnie G. Davidson II II, DMD

Title

President

Phone

(704) 663-1800

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ronnie Glynn Davidson II, DMD

  • General Practice Dentistry
  • Mooresville, NC
  • NPI 1811058969
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1351468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351468800000",
    "number": "1528312600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 N. MAGNOLIA ST.",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "28115",
            "telephone_number": "704-663-1800",
            "fax_number": "704-662-9569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 N. MAGNOLIA ST.",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "28115",
            "telephone_number": "704-663-1800",
            "fax_number": "704-662-9569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONNIE G. DAVIDSON II DMD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-29",
        "last_updated": "2012-10-29",
        "status": "A",
        "authorized_official_last_name": "DAVIDSON II",
        "authorized_official_first_name": "RONNIE",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-663-1800",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "7363",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NC",
            "identifier": "9024W",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen Rohde, PA
• Jessica Beatriz Rojas
• Dana Delconte Roman, MA, CCC/SLP
• Rondald M. Cox, DDS, PLLC
• Ronnie G Davidson II DMD and Jarrett M Burr DDS (Total Dental Care of Lake Norman)
• Kevin S Roof, M.D.
• Ropes
• Jennifer Marie Rosales, PT
• Anam Khan Rosberg
• Meredith Ann Rosco, D.C.

• General Practice Dentistry in Mooresville, NC
• Providers in Mooresville, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.