Individual provider Active NPI

Ronald Dominick Presutti, DDS

  • Dentist
  • St. Clairsville, OH
National Provider Identifier
1124003553
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
15207 Issued in OH
Practice address
156 Woodrow Av. PO # 536
Suite #2
St. Clairsville, OH 43950
Phone
(740) 695-5400
Fax
(740) 695-4998
NPI assigned
Dec 8, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 15207 OH Primary

Addresses

Primary practice location

156 Woodrow Av. PO # 536
Suite #2
St. Clairsville, OH 43950

Mailing address

48185 National Rd W
Saint Clairsville, OH 43950-8713
Phone (740) 695-4153

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Dec 22, 2015 through Dec 22, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
15207OHMDDentist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1134000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1124003553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48185 NATIONAL RD W",
            "city": "SAINT CLAIRSVILLE",
            "state": "OH",
            "postal_code": "439508713",
            "telephone_number": "740-695-4153",
            "fax_number": "740-695-4998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "156 WOODROW AV. PO # 536",
            "address_2": "SUITE #2",
            "city": "ST. CLAIRSVILLE",
            "state": "OH",
            "postal_code": "43950",
            "telephone_number": "740-695-5400",
            "fax_number": "740-695-4998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRESUTTI",
        "first_name": "RONALD",
        "middle_name": "DOMINICK",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-08",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "15207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St. Clairsville, OH

Sources for this page

Verify at the official NPI Registry.