Provider Demographics
NPI:1891760815
Name:RONEVICH, ROBERT A (DDS)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:A
Last Name:RONEVICH
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 1:310 OLIVE DR
Mailing Address - Street 2:
Mailing Address - City:WINTERSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43953-4257
Mailing Address - Country:US
Mailing Address - Phone:740-264-4328
Mailing Address - Fax:
Practice Address - Street 1:4169 SUNSET BLVD
Practice Address - Street 2:
Practice Address - City:STEUBENVILLE
Practice Address - State:OH
Practice Address - Zip Code:43952-3615
Practice Address - Country:US
Practice Address - Phone:740-266-6186
Practice Address - Fax:740-266-6226
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH167901223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice