Provider Demographics
NPI:1972699379
Name:OCHINANG, RICARDO (DMD)
Entity Type:Individual
Prefix:DR
First Name:RICARDO
Middle Name:
Last Name:OCHINANG
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 1:5769 SHERWOOD WAY
Mailing Address - Street 2:SUITE 140
Mailing Address - City:SAN ANGELO
Mailing Address - State:TX
Mailing Address - Zip Code:76901-5621
Mailing Address - Country:US
Mailing Address - Phone:325-944-4111
Mailing Address - Fax:325-944-2999
Practice Address - Street 1:5769 SHERWOOD WAY
Practice Address - Street 2:SUITE 140
Practice Address - City:SAN ANGELO
Practice Address - State:TX
Practice Address - Zip Code:76901-5621
Practice Address - Country:US
Practice Address - Phone:325-944-4111
Practice Address - Fax:325-944-2999
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2009-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL53661223G0001X
TX241231223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice