Provider Demographics
NPI:1063490084
Name:HEYS, RONALD J (DDS)
Entity type:Individual
Prefix:
First Name:RONALD
Middle Name:J
Last Name:HEYS
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1201 E STADIUM BLVD
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48104-4617
Mailing Address - Country:US
Mailing Address - Phone:734-668-7157
Mailing Address - Fax:734-668-2906
Practice Address - Street 1:1201 E STADIUM BLVD
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48104-4617
Practice Address - Country:US
Practice Address - Phone:734-668-7157
Practice Address - Fax:734-668-2906
Is Sole Proprietor?:No
Enumeration Date:2006-01-09
Last Update Date:2022-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2901010136122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist