Provider Demographics
NPI:1134119795
Name:DELIMAN, JOSEPH RONALD (DDS)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:RONALD
Last Name:DELIMAN
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 1:1210 W 44TH ST
Mailing Address - Street 2:
Mailing Address - City:LORAIN
Mailing Address - State:OH
Mailing Address - Zip Code:44053-2928
Mailing Address - Country:US
Mailing Address - Phone:440-282-4747
Mailing Address - Fax:440-282-4702
Practice Address - Street 1:1210 W 44TH ST
Practice Address - Street 2:
Practice Address - City:LORAIN
Practice Address - State:OH
Practice Address - Zip Code:44053-2928
Practice Address - Country:US
Practice Address - Phone:440-282-4747
Practice Address - Fax:440-282-4702
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH132031223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice