Provider Demographics
NPI:1083774806
Name:MCGONIGLE, WILLIAM RALPH (DDS)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:RALPH
Last Name:MCGONIGLE
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 1:85 EAST MAIN STREET
Mailing Address - Street 2:
Mailing Address - City:FREEHOLD
Mailing Address - State:NJ
Mailing Address - Zip Code:07728-2224
Mailing Address - Country:US
Mailing Address - Phone:732-462-0301
Mailing Address - Fax:732-780-1982
Practice Address - Street 1:85 EAST MAIN STREET
Practice Address - Street 2:
Practice Address - City:FREEHOLD
Practice Address - State:NJ
Practice Address - Zip Code:07728-2224
Practice Address - Country:US
Practice Address - Phone:732-462-0301
Practice Address - Fax:732-780-1982
Is Sole Proprietor?:No
Enumeration Date:2006-12-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJD10093601223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice