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Ronald Fulton Godat, DDS,MS
Periodontist in Kingsport, Tennessee
NPI 1558588848

Ronald Fulton Godat is a Periodontist based in Kingsport, TN and is specialized in Periodontics. Ronald Fulton Godat practices in Kingsport, TN and has the professional credentials of DDS,MS. The NPI Number for Ronald Fulton Godat is 1558588848 and holds a License No. DS2061 (Tennessee).

The current practice location address for Ronald Fulton Godat is 210 Lockport Cir, Kingsport, TN and can be reached out via phone at 423-239-3993 and via fax at 423-239-9499.

Location: 210 Lockport Cir, Kingsport, TN, 37664-5278
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558588848
Provider Name
Ronald Fulton Godat
Credential
DDS,MS
Provider Entity Type
Individual
Gender
Male
Address
210 Lockport Cir, Kingsport, TN, 37664-5278
Phone Number
423-239-3993
Fax Number
423-239-9499
Provider Enumeration Date
04/19/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
210 Lockport Cir
City
Kingsport
State
Tennessee
Zip
37664-5278
Phone Number
423-239-3993
Fax Number
423-239-9499
person
Provider Business Mailing Address Details
Address
210 Lockport Cir
City
Kingsport
State
Tennessee
Zip
37664-5278
Phone Number
423-239-3993
Fax Number
423-239-9499
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Periodontics
Taxonomy
1223P0300X
License No.
DS2061 (Tennessee)
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
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