Provider Demographics
NPI:1679656052
Name:TREIBER, RONALD LEE (DDS)
Entity Type:Individual
Prefix:DR
First Name:RONALD
Middle Name:LEE
Last Name:TREIBER
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 1:707 LAKE COOK RD
Mailing Address - Street 2:SUITE 127
Mailing Address - City:DEERFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:60015-5613
Mailing Address - Country:US
Mailing Address - Phone:847-412-0600
Mailing Address - Fax:
Practice Address - Street 1:707 LAKE COOK RD
Practice Address - Street 2:SUITE 127
Practice Address - City:DEERFIELD
Practice Address - State:IL
Practice Address - Zip Code:60015-5613
Practice Address - Country:US
Practice Address - Phone:847-412-0600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice