Provider Demographics
NPI:1255340451
Name:NADLER, RONALD MARTIN (DDS)
Entity type:Individual
Prefix:DR
First Name:RONALD
Middle Name:MARTIN
Last Name:NADLER
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 1:82 CLIFFMORE ROAD
Mailing Address - Street 2:
Mailing Address - City:WEST HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06102
Mailing Address - Country:US
Mailing Address - Phone:860-521-2460
Mailing Address - Fax:
Practice Address - Street 1:61 SOUTH MAIN STREET
Practice Address - Street 2:SUITE 311
Practice Address - City:WEST HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06107-2424
Practice Address - Country:US
Practice Address - Phone:860-233-9829
Practice Address - Fax:860-561-9743
Is Sole Proprietor?:No
Enumeration Date:2006-08-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT3793122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist