Provider Demographics
NPI:1497134522
Name:APUZZIO, RALPH L (DDS MSD)
Entity Type:Individual
Prefix:DR
First Name:RALPH
Middle Name:L
Last Name:APUZZIO
Suffix:
Gender:M
Credentials:DDS MSD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:18 SOUTH FOURTH STREET
Mailing Address - Street 2:
Mailing Address - City:LEWISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17837-1805
Mailing Address - Country:US
Mailing Address - Phone:570-523-3205
Mailing Address - Fax:570-523-0099
Practice Address - Street 1:18 SOUTH FOURTH STREET
Practice Address - Street 2:
Practice Address - City:LEWISBURG
Practice Address - State:PA
Practice Address - Zip Code:17837-1805
Practice Address - Country:US
Practice Address - Phone:570-523-3205
Practice Address - Fax:570-523-0099
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-21
Last Update Date:2015-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS018111L1223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics