National Provider Identifier

Jonathan David Ralph, DDS

Jonathan David Ralph, DDS is listed in the NPPES registry with a primary specialty of Dentist in Perry, NY and a listed phone number of (585) 237-6345.

NPI 1285714576Perry, NYDentist

Profile Overview

NPI
1285714576
Provider Type
Individual
Primary Specialty
Dentist
Enumeration Date
October 17, 2006
Last Updated
July 08, 2007

Practice Location

  • 78 S Main St
  • Perry, NY 14530

Phone: (585) 237-6345

Mailing Address

  • PO Box 250
  • 78 S Main St
  • Perry, NY 14530

Specialties

  • Dentist (122300000X)
Full Record
NPI
1285714576
Entity Type
Individual
Last Name
Ralph
First Name
Jonathan
Middle Name
David
Name Prefix
Dr.
Credential
DDS
Mailing Street Address
PO Box 250
Mailing Address Line 2
78 S Main St
Mailing City
Perry
Mailing State
NY
Mailing ZIP Code
14530
Mailing Country
US
Mailing Phone
(585) 237-6345
Practice Street Address
78 S Main St
Practice City
Perry
Practice State
NY
Practice ZIP Code
14530
Practice Country
US
Practice Phone
(585) 237-6345
Enumeration Date
October 17, 2006
Last Updated
July 08, 2007
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Dentist (122300000X)
Other Identifiers
01204475 (NY)