Provider Demographics
NPI:1265558431
Name:RATCLIFF, STEPHEN W (STEPHEN RATCLIFF DDS)
Entity type:Individual
Prefix:
First Name:STEPHEN
Middle Name:W
Last Name:RATCLIFF
Suffix:
Gender:M
Credentials:STEPHEN RATCLIFF DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1007 W RANDOL MILL RD
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76012-6503
Mailing Address - Country:US
Mailing Address - Phone:817-274-7875
Mailing Address - Fax:
Practice Address - Street 1:1007 W RANDOL MILL RD
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76012-6503
Practice Address - Country:US
Practice Address - Phone:817-274-7875
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13125122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist