RONALD FULTON GODAT (NPI# 1558588848) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558588848 |
| Entity Type | Individual |
| Full Name | RONALD FULTON GODAT |
| Credential | D.D.S., M.S. |
| Practice Address |
210 Lockport Cir Kingsport TN 37664-5278 |
| Practice Telephone | 4232393993 |
| Practice Fax Number | 4232399499 |
| Mailing Telephone | 4232393993 |
| Mailing Fax Number | 4232399499 |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
DS2061 | TN | Dental Providers |
| Street Address |
210 LOCKPORT CIR |
| City | KINGSPORT |
| State | TN |
| Zip Code | 37664-5278 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497990816 | David M Pond Dds Mds PC | Dentist | 210 Lockport Cir, Kingsport, TN 37664-5278 | 2008-12-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972067395 | Alice Victoria Lilly | Nurse Practitioner | 2995 Ft. Henry Drive, Suite 100, Kingsport, TN 37664 | 2019-01-30 |
| 1861966525 | Catherine Ann Hensley | Nurse Practitioner | 2995 Fort Henry Drive, Suite 100, Kingsport, TN 37664 | 2019-01-16 |
| 1679076954 | Christopher A Hillman | Dentist | 1599 Fort Henry Dr Ste 102, Kingsport, TN 37664 | 2018-03-13 |
| 1154666733 | Cristin Patterson | Counselor | 2762 East Center St., Kingsport, TN 37664 | 2012-12-07 |
| 1972851095 | Kevin Michael Smith | Pharmacist | 1425 East Center Street, Kingsport, TN 37664 | 2012-08-21 |
| 1619299617 | Kelli Lynn Dillon | Counselor | 1570 Waverly Rorad, Kingsport, TN 37664 | 2010-02-18 |
| 1356503726 | Charles Craig Stieler | Hearing Instrument Specialist | 2101 Ft Henry Dr, Kingsport, TN 37664 | 2008-06-27 |
| 1104012319 | Pro Balance LLC | Prosthetic/Orthotic Supplier | 2408 Fort Henry Drive, Kingsport, TN 37664 | 2007-09-20 |
| 1518188648 | Remington House | Assisted Living Facility | 640 Rock Springs Road, Kingsport, TN 37664 | 2007-05-02 |
| 1689795007 | Elaine Frazier | Emergency Medicine | 410 Golf Ridge Dr, Kingsport, TN 37664 | 2007-04-03 |
| Find all providers in zip 37664 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| 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. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710086418 | David Mitchell Pond | Dentist | 210 Lockport Cr, Kingsport, TN 37664 | 2006-09-21 |
| 1568561231 | Ronald F Godat Dds Ms PC | Dentist | 210 Lockport Circle, Kingsport, TN 37664 | 2006-09-21 |
| 1497990816 | David M Pond Dds Mds PC | Dentist | 210 Lockport Cir, Kingsport, TN 37664-5278 | 2008-12-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518382506 | Jason Strever | Dentist | 5022 Old Godsey Ln Ste 1, Hixson, TN 37343-6604 | 2014-02-27 |
| 1295157519 | Danny Adkins, D.d.s. | Dentist | 1301 Old Weisgarber Road, Knoxville, TN 37909 | 2014-01-07 |
| 1285946517 | John David Meister | Dentist | 1177 Old Hickory Blvd., Ste. 101, Brentwood, TN 37027-4242 | 2010-07-01 |
| 1770814261 | Thomas Faerber | Dentist | 118 Medical Ct, Clarksville, TN 37043-4602 | 2010-01-22 |
| 1184875627 | Michael Patrick Madigan | Dentist | 117 Capital Dr, Knoxville, TN 37922-3393 | 2008-10-02 |
| 1407030158 | Ted Craig Bleckstein | Dentist | 1085 River Village Ln, Afton, TN 37616-6219 | 2007-12-18 |
| 1659579472 | Matthew L Heaton | Dentist | 140 E Market Place Blvd, Knoxville, TN 37922 | 2007-07-03 |
| 1497959761 | Joseph Wade Gaither | Dentist | 301 Uptown Sq, Murfreesboro, TN 37129-0574 | 2007-06-12 |
| 1821206111 | Heather Keck Ridgway | Dentist | 510 Brennan Ln, Franklin, TN 37067-6235 | 2007-05-18 |
| 1376764688 | Ronald Loy Kilgore | Dentist | 8912 Town and Country Circle, Knoxville, TN 37923-4900 | 2007-05-02 |
| Find all providers with the same taxonomy | ||||
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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.