DR. RONALD DEAN JESSUP (NPI# 1184813164) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184813164 |
| Entity Type | Individual |
| Full Name | DR. RONALD DEAN JESSUP |
| Other Name | DR. RONALD DEAN JESSUP, D.M.D., PC |
| Credential | D.M.D. |
| Practice Address |
14245 Lee Hwy Bristol VA 24202-4317 |
| Practice Telephone | 2766288164 |
| Practice Fax Number | 2766443145 |
| Mailing Telephone | 2766288164 |
| Mailing Fax Number | 2766443145 |
| Enumeration Date | 2007-10-16 |
| Last Update Date | 2010-10-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 0401008645 | VA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | DELTA DENTAL | 041008645A | 01 |
| VA | UNITED CONCORDIA | 00701762 | 01 |
| VA | 007800568 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497961593 | Ronald Joe Jessup | Dentist | 1165 Jefferson Green Circle, Midlothian, VA 23113 | 2007-05-15 |
| Street Address |
14245 LEE HWY |
| City | BRISTOL |
| State | VA |
| Zip Code | 24202-4317 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396706669 | Ronald D Jessup Dmd PC | Dentist | 14245 Lee Hwy, Bristol, VA 24202-4317 | 2006-03-28 |
| 1205905858 | Lee F Lykins IIi | Dentist | 14245 Lee Hwy, Bristol, VA 24202-4317 | 2006-11-07 |
| 1003926940 | Roy S Shelburne | Dentist | 14245 Lee Hwy, Bristol, VA 24202-4317 | 2006-08-30 |
| 1023125135 | Victoria Cross Bettis | Dentist | 14245 Lee Hwy, Bristol, VA 24202-4317 | 2006-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568977940 | Renaissance Medical Care | Family Medicine | 284 Blevins Boulevard, Bristol, VA 24202 | 2017-12-07 |
| 1467725879 | Leighton W Wood Dds Ms P.C. | Dentist | 103 Linden Square Drive, Bristol, VA 24202 | 2012-02-15 |
| 1285828640 | Sam's Club Optical | Eyewear Supplier (Equipment, not the service) | 13249 Lee Highway, Bristol, VA 24202 | 2007-08-29 |
| 1154462117 | Emdee Clinica, Pllc | Clinic/Center | 23164 Kestrel Dr, Bristol, VA 24202 | 2007-02-10 |
| 1053355859 | Commonweatlh of Virginia State Board of Health | Public Health or Welfare | 15068 Lee Highway, Suite 1000, Bristol, VA 24202 | 2006-06-15 |
| 1891775193 | William Daryl Wilson | Dentist | 15068 Lee Hwy, Ste 1000 Washington Co Health Dept, Bristol, VA 24202 | 2006-01-20 |
| 1457832123 | Justin Scott Pennington | Physical Therapist | 136 Bristol East Rd, Bristol, VA 24202 | 2018-08-22 |
| 1588104335 | Timothy G. Mcgarry, Md, Pllc | Orthopaedic Surgery | 21371 Forsythe Rd, Bristol, VA 24202 | 2017-02-27 |
| 1669532560 | Washington Co Health Dept Dental Clinic | Dentist | 15068 Lee Highway, Suite 1000, Bristol, VA 24202 | 2006-12-11 |
| 1437568946 | Family Preservation Services, Inc | Community/Behavioral Health | 7741 Rich Valley Rd, Bristol, VA 24202-0439 | 2014-08-08 |
| Find all providers in zip 24202 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629695150 | Vishal Bhambri | Dentist | 130 Mill St, Bristol, PA 19007-4807 | 2020-07-01 |
| 1891356135 | Esther Lee | Dentist | 1401 Volunteer Pkwy Apt 3, Bristol, TN 37620-6009 | 2019-06-26 |
| 1376035741 | Cody D Christian | Dentist | 1705 Edgemont Ave, Bristol, TN 37620-4307 | 2018-06-01 |
| 1396198198 | Optima Dental | Dentist | 222 Commerce Cir, Bristol, PA 19007-3113 | 2016-07-15 |
| 1013328442 | Victoria C. Bettis, Dds,llc | Dentist | 14391 Lee Hwy, Bristol, VA 24202-4319 | 2014-05-20 |
| 1215297023 | Kelly J Perry | Dentist | 100 Robie Rd, Bristol, NH 03222-6063 | 2012-05-25 |
| 1285953653 | Bristol Plaza Family Dental | Dentist | 1192 Farmington Ave, Unit D, Bristol, CT 06010-4752 | 2010-05-25 |
| 1336478882 | Paul M Kotuby Jr. | Dentist | 15 Gooding Avenue, Suite 1, Bristol, RI 02809-2600 | 2009-12-11 |
| 1245471978 | Pa Smile Center P.C. | Dentist | 1212 New Rodgers Rd, Suite A-1, Bristol, PA 19007-2512 | 2009-03-09 |
| 1962661223 | Roger Dale Keller | Dentist | 1039 Highway 126, Bristol, TN 37620-3223 | 2008-06-03 |
| Find all providers in BRISTOL | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.