Provider Demographics
NPI:1710094461
Name:RINGLER, MARY IRENE (DMD PHD)
Entity Type:Individual
Prefix:
First Name:MARY
Middle Name:IRENE
Last Name:RINGLER
Suffix:
Gender:F
Credentials:DMD PHD
Other - Prefix:
Other - First Name:MARY
Other - Middle Name:BINDER
Other - Last Name:RINGLER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DMD PHD
Mailing Address - Street 1:105 SUMMERWOOD WAY
Mailing Address - Street 2:SUITE C
Mailing Address - City:AIKEN
Mailing Address - State:SC
Mailing Address - Zip Code:29803
Mailing Address - Country:US
Mailing Address - Phone:803-649-1771
Mailing Address - Fax:803-641-1311
Practice Address - Street 1:105 SUMMERWOOD WAY
Practice Address - Street 2:SUITE C
Practice Address - City:AIKEN
Practice Address - State:SC
Practice Address - Zip Code:29803
Practice Address - Country:US
Practice Address - Phone:803-649-1771
Practice Address - Fax:803-641-1311
Is Sole Proprietor?:No
Enumeration Date:2006-08-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC27541223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics