| Ronald K. Reagin, Jr. D.m.d., P.c. | |
|
2309 N Patterson St Valdosta GA 31602-2510 | |
| (229) 244-4656 | |
| Not Available |
| Full Name | Ronald K. Reagin, Jr. D.m.d., P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2309 N Patterson St, Valdosta, Georgia |
| Authorized Official Name and Position | Ronald Kelley Reagin, Jr. (CEO) |
| Authorized Official Contact | 2292444656 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ronald K. Reagin, Jr. D.m.d., P.c. 2309 N Patterson St Valdosta GA 31602-2510 Ph: (229) 244-4656 | Ronald K. Reagin, Jr. D.m.d., P.c. 2309 N Patterson St Valdosta GA 31602-2510 Ph: (229) 244-4656 |
| NPI Number | 1023133519 |
|---|---|
| Provider Enumeration Date | 03/21/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023133519 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN012569 (Georgia) | Primary |
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