Provider Demographics
NPI:1861179871
Name:RANSSON & RANSON D.D.S. P.C.
Entity type:Organization
Organization Name:RANSSON & RANSON D.D.S. P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:ALEXANDRIA
Authorized Official - Middle Name:
Authorized Official - Last Name:MASSEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:309-263-2021
Mailing Address - Street 1:320 E JACKSON ST
Mailing Address - Street 2:
Mailing Address - City:MORTON
Mailing Address - State:IL
Mailing Address - Zip Code:61550-1616
Mailing Address - Country:US
Mailing Address - Phone:309-263-2021
Mailing Address - Fax:309-266-6895
Practice Address - Street 1:320 E JACKSON ST
Practice Address - Street 2:
Practice Address - City:MORTON
Practice Address - State:IL
Practice Address - Zip Code:61550-1616
Practice Address - Country:US
Practice Address - Phone:309-263-2021
Practice Address - Fax:309-266-6895
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-30
Last Update Date:2023-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty