Michael J Ratchford, D.M.D
Individual provider Active NPI Dentist · Hamlin, PA
NPI 1174647614 · NPPES record last updated Aug 19, 2020
Key facts
- NPI
- 1174647614
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- DS026338L (PA)
- Practice address
- Rte 590 at 348
Hamlin Professioanl Complex
Hamlin, PA 18427 - Phone
- (570) 689-2449
- Fax
- (570) 689-0960
- NPI assigned
- Mar 19, 2007
- 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 |
|---|---|---|---|
| DS026338L | PA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ariel Dental LLC | Dentist | Current |
Accepting new patients |
Locations
358 Hamlin Hwy
#2
Lake Ariel, PA 18436
Phone (570) 689-2449
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DS026338L | PA | Yes |
Addresses
Primary practice location
Rte 590 at 348
Hamlin Professioanl Complex
Hamlin, PA 18427
Mailing address
358 Hamlin Hwy
Suite 2
Lake Ariel, PA 18436-0000
Phone (570) 689-2449
Other providers in Hamlin, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 19, 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.