Provider Demographics
NPI:1437132156
Name:RAMPENTHAL, TIMOTHY J (DMD)
Entity Type:Individual
Prefix:DR
First Name:TIMOTHY
Middle Name:J
Last Name:RAMPENTHAL
Suffix:
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 1:5010 PRESTON HWY STE 100
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40213-2230
Mailing Address - Country:US
Mailing Address - Phone:502-966-5252
Mailing Address - Fax:508-968-3342
Practice Address - Street 1:5010 PRESTON HWY
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40213-2230
Practice Address - Country:US
Practice Address - Phone:502-966-5252
Practice Address - Fax:508-968-3342
Is Sole Proprietor?:No
Enumeration Date:2005-11-28
Last Update Date:2015-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY71601223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice