Beaton, Ralph Charles

Beaton, Ralph Charles is an individual health care provider with primary practice located at 2309 N Triphammer Rd , Ithaca NY 14850-1060. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Beaton, Ralph Charles can be contacted via phone (607) 257-8065.

Contact Information

Primary practice address
2309 N Triphammer Rd Ithaca NY 14850-1060
Phone: (607) 257-8065
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 051837 New York

Profile Details

NPI number 1538353644
LBN Legal business name Beaton, Ralph Charles
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2007
Last updated Aug 31st, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538353644 NPPES
New York MEDICAID 02751504

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