Ralph Thomas Dinges, DMD
Individual provider Active NPI Dentist · O Fallon, MO
NPI 1003428335 · NPPES record last updated Aug 18, 2020
Key facts
- NPI
- 1003428335
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 2020024646 (MO)
- Practice address
- 7124 S Outer 364
O Fallon, MO 63368-7756 - Phone
- (636) 978-4848
- NPI assigned
- Aug 18, 2020
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2020024646 | MO | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dardenne Dental Arts | Current |
Accepting new patients |
Locations
7124 S Outer 364
O Fallon, MO 63368
Phone (636) 978-4848
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 2020024646 | MO | Yes |
Addresses
Primary practice location
7124 S Outer 364
O Fallon, MO 63368-7756
Mailing address
5363 Odell St
Saint Louis, MO 63139-1414
Phone (309) 310-7384
Other providers in O Fallon, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 18, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.