Ronald D Jessup Dmd PC

NPI #1396706669 in Bristol, Virginia

Provider Information

NPI Number: 1396706669
Entity Type: Organization
Organization Name: Ronald D Jessup Dmd PC
Primary Specialty: Dentist - General Practice
Enumeration Date: Mar 28, 2006
Last Updated: Jul 10, 2013

Practice Location

Address: 14245 LEE HWY
City: Bristol
State: Virginia
ZIP Code: 24202-4317
Phone: (276) 628-8164

Authorized Official

Name: DR. RONALD D JESSUP, DMD
Title: OWNER
Phone: (276) 628-8164

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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