Provider Demographics
NPI:1053574046
Name:SANGID, RONNY K (DDS)
Entity type:Individual
Prefix:DR
First Name:RONNY
Middle Name:K
Last Name:SANGID
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 1:50 S PICKETT ST STE 229
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22304-7200
Mailing Address - Country:US
Mailing Address - Phone:703-212-0000
Mailing Address - Fax:703-212-0001
Practice Address - Street 1:50 S PICKETT ST STE 229
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22304-7200
Practice Address - Country:US
Practice Address - Phone:703-212-0000
Practice Address - Fax:703-212-0001
Is Sole Proprietor?:No
Enumeration Date:2008-07-09
Last Update Date:2011-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04010073271223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice