Provider Demographics
NPI:1750414744
Name:EPSTEIN, RALPH HARRIS (DDS)
Entity type:Individual
Prefix:DR
First Name:RALPH
Middle Name:HARRIS
Last Name:EPSTEIN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:173 EAST SHORE ROAD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:GREAT NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11023
Mailing Address - Country:US
Mailing Address - Phone:516-487-8110
Mailing Address - Fax:516-977-9441
Practice Address - Street 1:173 EAST SHORE ROAD
Practice Address - Street 2:SUITE 201
Practice Address - City:GREAT NECK
Practice Address - State:NY
Practice Address - Zip Code:11023
Practice Address - Country:US
Practice Address - Phone:516-487-8110
Practice Address - Fax:516-977-9441
Is Sole Proprietor?:No
Enumeration Date:2007-03-13
Last Update Date:2013-05-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY342271223D0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223D0004XDental ProvidersDentistDental Anesthesiology