MR. RONALD GAIL HENDRICKSON


Address: 128 South Adams, Jerome, ID 83338
Phone: 2083243596

MR. RONALD GAIL HENDRICKSON (NPI# 1295898310) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1295898310
Entity Type Individual
Full Name MR. RONALD GAIL HENDRICKSON
Credential DDS
Practice Address 128 South Adams
Jerome
ID 83338
Mailing Address 56 East 100 South
Jerome
ID 83338
Practice Telephone 2083243596
Mailing Telephone 2083243596
Enumeration Date 2006-12-19
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
D1554 ID Dental Providers

Other Providers RONALD HENDRICKSON

NPI Name Taxonomy Address Enumeration
1447343314 Ronald Ray Hendrickson Dentist 4114 4th Ave, Kearney, NE 68848-3048 2006-10-02
1861849366 Ronald Hendrickson Counselor 630 W Mercury St, Butte, MT 59701-1510 2016-05-16

Office Location

Street Address 128 SOUTH ADAMS
City JEROME
State ID
Zip Code 83338

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1295336709 Family Health Services Pharmacy Pharmacy 218 W. Nez Perce, Jerome, ID 83338 2020-11-03
1811391626 Summit Therapy Services In Home Supportive Care 113 East Ave. F, Jerome, ID 83338 2014-10-22
1952645285 Readings Community Pharmacy Inc Pharmacy 133 West A, Jerome, ID 83338 2012-11-27
1801121298 Yolanda S. Sedano Physician Assistant 132 5th Ave West, Jerome, ID 83338 2009-10-02
1316035512 Johnson Chiropractic Clinic Chiropractor 600 N Lincoln Ave, Jerome, ID 83338 2006-10-11
1265527725 Lon M. Egbert, P.C. Specialist/Technologist 128 5th Ave West, Jerome, ID 83338 2006-10-03
1992898605 St Benedicts Family Medical Center Home Health 414 N Lincoln, Suite 1, Jerome, ID 83338 2006-10-02
1790231355 Lexa Marie Balling Pharmacist 2680 S Lincoln Ave, Jerome, ID 83338 2016-09-01
1922037530 St Benedicts Family Medical Center Clinic/Center 115 5th Ave W, Jerome, ID 83338-1824 2006-07-03
1487218814 Logan Perkins Family Medicine 132 5th Ave W Ste 2, Jerome, ID 83338-1825 2019-05-01
Find all providers in zip 83338

Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Notes: Source: Academy of General Dentistry

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1194344580 Robert Jay Ault Dentist 11358 Oakwood Dr, Jerome, MI 49249-9804 2020-04-15
1144516733 Newell Tyler Elison Dentist 1555 S Lincoln Ave, Jerome, ID 83338-6136 2011-06-22
1689844219 William H Lloyd Dentist 119 Country Ln, Jerome, ID 83338-6147 2008-03-11
1104229913 Tdcjerome Pllc Dentist 119 Country Ln, Jerome, ID 83338-6147 2014-10-07
1568809853 Robert William Hale Dentist 143 E Main St, Jerome, ID 83338-2332 2013-05-28
1568725703 Jeffrey Ryan Palmer Dentist 143 E Main St, Jerome, ID 83338-2332 2012-06-22
1265698039 Samuel C Page Dentist 143 E Main St, Jerome, ID 83338-2332 2008-07-31
1760494249 Canyon Falls Dental P.l.l.c. Dentist 143 E Main St, Jerome, ID 83338-2332 2006-08-12
1801806641 Mckay D Barlow Dentist 143 E Main St, Jerome, ID 83338-2332 2006-08-08
1245295302 David Matthew Bond Dentist 143 E Main St, Jerome, ID 83338-2332 2006-04-19
Find all providers in JEROME

Competitor

Search similar providers

City JEROME
Zip Code 83338

Improve Information

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Dataset Information

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.

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