Provider Demographics
NPI:1437177276
Name:RONALD G MURSTEIN DMD
Entity type:Organization
Organization Name:RONALD G MURSTEIN DMD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:G
Authorized Official - Last Name:MURSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:561-736-0008
Mailing Address - Street 1:9851 S MILITARY TRL
Mailing Address - Street 2:STE I
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33436-3237
Mailing Address - Country:US
Mailing Address - Phone:561-638-0008
Mailing Address - Fax:561-736-0025
Practice Address - Street 1:9851 S MILITARY TRL
Practice Address - Street 2:STE I
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33436-3237
Practice Address - Country:US
Practice Address - Phone:561-638-0008
Practice Address - Fax:561-736-0025
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL84521223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty