Provider Demographics
NPI:1265554083
Name:RALPH L APUZZIO DDS & ASSOCIATES
Entity type:Organization
Organization Name:RALPH L APUZZIO DDS & ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RALPH
Authorized Official - Middle Name:L
Authorized Official - Last Name:APUZZIO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS MSD
Authorized Official - Phone:570-523-3205
Mailing Address - Street 1:18 SOUTH FOURTH STREET
Mailing Address - Street 2:
Mailing Address - City:LEWISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17837-1802
Mailing Address - Country:US
Mailing Address - Phone:570-523-3205
Mailing Address - Fax:570-523-0099
Practice Address - Street 1:18 SOUTH FOURTH STREET
Practice Address - Street 2:
Practice Address - City:LEWISBURG
Practice Address - State:PA
Practice Address - Zip Code:17837-1802
Practice Address - Country:US
Practice Address - Phone:570-523-3205
Practice Address - Fax:570-523-0099
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADSO 18111L1223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty