Ronald Guy Cleverley, D.D.S., P.A.
Individual provider Active NPI General Practice Dentistry · Fredonia, KS
NPI 1609856145 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1609856145
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 4663 (KS)
- Practice address
- 428 N 7TH St
Fredonia, KS 66736-1315 - Phone
- (620) 378-2001
- Fax
- (620) 378-4697
- NPI assigned
- Jan 19, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 4663 | KS | Yes |
Addresses
Primary practice location
428 N 7TH St
Fredonia, KS 66736-1315
Mailing address
428 N 7TH St
Fredonia, KS 66736-1315
Phone (620) 378-2001
Other providers in Fredonia, KS
- Advanced Healthcare Associates, LLC
- Ambrosio P Mendiola MD LLC
- Oswaldo Cruz Bacani Sr.
- Koralyn Dawn Barkman
- James E Clay
- County of Wilson
- CPF Senior Living - Fredonia LLC
- DRS. Morris & Hill Medical Clinic, LLC
- Jacob Dugan
- Holly Dyrud
All providers in Fredonia, KS · General Practice Dentistry in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.