Provider Demographics
NPI:1124003553
Name:PRESUTTI, RONALD DOMINICK (DDS)
Entity Type:Individual
Prefix:DR
First Name:RONALD
Middle Name:DOMINICK
Last Name:PRESUTTI
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 1:48185 NATIONAL RD W
Mailing Address - Street 2:
Mailing Address - City:SAINT CLAIRSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43950-8713
Mailing Address - Country:US
Mailing Address - Phone:740-695-4153
Mailing Address - Fax:740-695-4998
Practice Address - Street 1:156 WOODROW AV. PO # 536
Practice Address - Street 2:SUITE #2
Practice Address - City:ST. CLAIRSVILLE
Practice Address - State:OH
Practice Address - Zip Code:43950
Practice Address - Country:US
Practice Address - Phone:740-695-5400
Practice Address - Fax:740-695-4998
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH15207122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist