Provider Demographics
NPI:1912038266
Name:CASIPIT, RAMON D (DDS)
Entity Type:Individual
Prefix:DR
First Name:RAMON
Middle Name:D
Last Name:CASIPIT
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 1:186 BATES-WILSON RD
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:NY
Mailing Address - Zip Code:13832
Mailing Address - Country:US
Mailing Address - Phone:607-334-4233
Mailing Address - Fax:
Practice Address - Street 1:10 HENRY ST
Practice Address - Street 2:
Practice Address - City:NORWICH
Practice Address - State:NY
Practice Address - Zip Code:13815-1302
Practice Address - Country:US
Practice Address - Phone:607-336-2273
Practice Address - Fax:607-336-2291
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY051720-11223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice