Provider Demographics
NPI:1457344806
Name:LOEWENSTEIN, RONALD KEITH (DDS)
Entity Type:Individual
Prefix:MR
First Name:RONALD
Middle Name:KEITH
Last Name:LOEWENSTEIN
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 1:2 EXECUTIVE BLVD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:SUFFERN
Mailing Address - State:NY
Mailing Address - Zip Code:10901-9998
Mailing Address - Country:US
Mailing Address - Phone:845-368-7448
Mailing Address - Fax:845-368-7461
Practice Address - Street 1:26 COLLEGE RD
Practice Address - Street 2:
Practice Address - City:MONSEY
Practice Address - State:NY
Practice Address - Zip Code:10952-2856
Practice Address - Country:US
Practice Address - Phone:914-391-8849
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-08-31
Last Update Date:2008-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY048769122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist