Provider Demographics
NPI:1174721054
Name:ATANAY, RONALD DALE (DDS)
Entity type:Individual
Prefix:DR
First Name:RONALD
Middle Name:DALE
Last Name:ATANAY
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 1:2500 UNION AVE
Mailing Address - Street 2:
Mailing Address - City:LA HABRA
Mailing Address - State:CA
Mailing Address - Zip Code:90631-5837
Mailing Address - Country:US
Mailing Address - Phone:562-697-5283
Mailing Address - Fax:
Practice Address - Street 1:1545 MORSE AVE STE A
Practice Address - Street 2:
Practice Address - City:VENTURA
Practice Address - State:CA
Practice Address - Zip Code:93003-5171
Practice Address - Country:US
Practice Address - Phone:805-676-1800
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-03
Last Update Date:2024-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA30540122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist