Provider Demographics
NPI:1578675039
Name:GRABOWSKI, RONALD JOSEPH (DDS)
Entity Type:Individual
Prefix:
First Name:RONALD
Middle Name:JOSEPH
Last Name:GRABOWSKI
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 1:853 2ND STREET PIKE
Mailing Address - Street 2:SUITE B104
Mailing Address - City:RICHBORO
Mailing Address - State:PA
Mailing Address - Zip Code:18954
Mailing Address - Country:US
Mailing Address - Phone:215-322-7800
Mailing Address - Fax:
Practice Address - Street 1:853 2ND STREET PIKE
Practice Address - Street 2:SUITE B104
Practice Address - City:RICHBORO
Practice Address - State:PA
Practice Address - Zip Code:18954
Practice Address - Country:US
Practice Address - Phone:215-322-7800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2024-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS018756L122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist