Provider Demographics
NPI:1134215726
Name:ERKIS, RONALD S (DDS)
Entity type:Individual
Prefix:
First Name:RONALD
Middle Name:S
Last Name:ERKIS
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 1:50 ASHBOURNE RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43209-1451
Mailing Address - Country:US
Mailing Address - Phone:614-252-5600
Mailing Address - Fax:
Practice Address - Street 1:1418 BRICE RD
Practice Address - Street 2:
Practice Address - City:REYNOLDSBURG
Practice Address - State:OH
Practice Address - Zip Code:43068-2397
Practice Address - Country:US
Practice Address - Phone:614-501-0042
Practice Address - Fax:614-501-0048
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH130761223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics