Provider Demographics
NPI:1033367784
Name:MENSAH, RALPH KOJO (DDS)
Entity Type:Individual
Prefix:DR
First Name:RALPH
Middle Name:KOJO
Last Name:MENSAH
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 1:975 CAMERON LANE
Mailing Address - Street 2:
Mailing Address - City:MEBANE
Mailing Address - State:NC
Mailing Address - Zip Code:27302-9883
Mailing Address - Country:US
Mailing Address - Phone:919-304-3014
Mailing Address - Fax:919-304-3017
Practice Address - Street 1:975 CAMERON LANE
Practice Address - Street 2:
Practice Address - City:MEBANE
Practice Address - State:NC
Practice Address - Zip Code:27302-9883
Practice Address - Country:US
Practice Address - Phone:919-304-3014
Practice Address - Fax:919-304-3017
Is Sole Proprietor?:No
Enumeration Date:2008-09-07
Last Update Date:2018-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC8693122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist