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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223G0001X |
Dentist Specialization: General Practice |
D1554 | ID | Dental Providers |
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 |
Street Address |
128 SOUTH ADAMS |
City | JEROME |
State | ID |
Zip Code | 83338 |
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 Code | 1223G0001X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | General Practice |
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 |
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 |
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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.