Healthcare Provider Details

I. General information

NPI: 1407864358
Provider Name (Legal Business Name): STEPHEN RING
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/04/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1857 N MILITARY TRAIL
WEST PALM BEACH FL
33409
US

IV. Provider business mailing address

2226W WEST ATLANTIC AVE NORTHWESTERN MANAGEMENT SERVICES
DELRAY BEACH FL
33445
US

V. Phone/Fax

Practice location:
  • Phone: 561-683-7699
  • Fax: 561-683-1182
Mailing address:
  • Phone: 561-330-8330
  • Fax: 561-330-3840

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberDN8793
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: