Provider Demographics
NPI:1003428335
Name:DINGES, RALPH THOMAS (DMD)
Entity Type:Individual
Prefix:
First Name:RALPH
Middle Name:THOMAS
Last Name:DINGES
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5363 ODELL ST
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63139-1414
Mailing Address - Country:US
Mailing Address - Phone:309-310-7384
Mailing Address - Fax:
Practice Address - Street 1:7124 S OUTER 364
Practice Address - Street 2:
Practice Address - City:O FALLON
Practice Address - State:MO
Practice Address - Zip Code:63368-7756
Practice Address - Country:US
Practice Address - Phone:636-978-4848
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-18
Last Update Date:2020-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2020024646122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist