Provider Demographics
NPI:1174720049
Name:RIBAREVSKI, RICHARD M
Entity type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:M
Last Name:RIBAREVSKI
Suffix:
Gender:M
Credentials:
Other - Prefix:DR
Other - First Name:RICHARD
Other - Middle Name:M
Other - Last Name:RIBAREVSKI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DMD
Mailing Address - Street 1:101 W FAIRMONT AVE
Mailing Address - Street 2:
Mailing Address - City:NEW CASTLE
Mailing Address - State:PA
Mailing Address - Zip Code:16105-2853
Mailing Address - Country:US
Mailing Address - Phone:724-654-8900
Mailing Address - Fax:
Practice Address - Street 1:101 W FAIRMONT AVE
Practice Address - Street 2:
Practice Address - City:NEW CASTLE
Practice Address - State:PA
Practice Address - Zip Code:16105-2853
Practice Address - Country:US
Practice Address - Phone:724-654-8900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS026830L1223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics