Provider Demographics
NPI:1750975231
Name:RALPH E MCDONALD DDS LTD
Entity type:Organization
Organization Name:RALPH E MCDONALD DDS LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ONWER
Authorized Official - Prefix:DR
Authorized Official - First Name:RALPH
Authorized Official - Middle Name:E
Authorized Official - Last Name:MCDONALD
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:630-469-0029
Mailing Address - Street 1:1N121 COUNTY FARM RD STE 200
Mailing Address - Street 2:
Mailing Address - City:WINFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:60190-2034
Mailing Address - Country:US
Mailing Address - Phone:630-469-0029
Mailing Address - Fax:
Practice Address - Street 1:1N121 COUNTY FARM RD STE 200
Practice Address - Street 2:
Practice Address - City:WINFIELD
Practice Address - State:IL
Practice Address - Zip Code:60190-2034
Practice Address - Country:US
Practice Address - Phone:630-469-0029
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-24
Last Update Date:2021-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental