Provider Demographics
NPI:1750591103
Name:RALPH E. RANSFORD, D.D.S., LTD.
Entity type:Organization
Organization Name:RALPH E. RANSFORD, D.D.S., LTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RALPH
Authorized Official - Middle Name:
Authorized Official - Last Name:RANSFORD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-345-4070
Mailing Address - Street 1:10060 W ROOSEVELT RD
Mailing Address - Street 2:SUITE 1B
Mailing Address - City:WESTCHESTER
Mailing Address - State:IL
Mailing Address - Zip Code:60154-2670
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:10060 W ROOSEVELT RD
Practice Address - Street 2:SUITE 1B
Practice Address - City:WESTCHESTER
Practice Address - State:IL
Practice Address - Zip Code:60154-2670
Practice Address - Country:US
Practice Address - Phone:708-345-4070
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty