Provider Demographics
NPI:1417150616
Name:KEMERER, RALPH C JR (DMD)
Entity Type:Individual
Prefix:
First Name:RALPH
Middle Name:C
Last Name:KEMERER
Suffix:JR
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:532 SOUTH AIKEN AVENUE
Mailing Address - Street 2:SUITE 312
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15232
Mailing Address - Country:US
Mailing Address - Phone:412-621-8255
Mailing Address - Fax:412-621-8229
Practice Address - Street 1:5750 CENTRE AVENUE
Practice Address - Street 2:SUITE 310
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15206
Practice Address - Country:US
Practice Address - Phone:412-661-2610
Practice Address - Fax:412-661-8229
Is Sole Proprietor?:No
Enumeration Date:2007-06-06
Last Update Date:2012-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS017495L122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist