Provider Demographics
NPI:1982018008
Name:RANFRANZ, JAY MICHAEL (DDS)
Entity Type:Individual
Prefix:DR
First Name:JAY
Middle Name:MICHAEL
Last Name:RANFRANZ
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:P.O. BOX 448
Mailing Address - Street 2:217 W NASSAU ST
Mailing Address - City:SAINT PETER
Mailing Address - State:MN
Mailing Address - Zip Code:56082-2055
Mailing Address - Country:US
Mailing Address - Phone:507-931-5646
Mailing Address - Fax:507-934-0148
Practice Address - Street 1:217 W NASSAU ST
Practice Address - Street 2:
Practice Address - City:SAINT PETER
Practice Address - State:MN
Practice Address - Zip Code:56082-2055
Practice Address - Country:US
Practice Address - Phone:507-931-5646
Practice Address - Fax:507-934-0148
Is Sole Proprietor?:No
Enumeration Date:2014-06-17
Last Update Date:2014-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MND13385122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist