Healthcare Provider Details

I. General information

NPI: 1407072051
Provider Name (Legal Business Name): JOHN WILLIAM RINGO DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/18/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2001 US HIGHWAY 41 SUITE F
SCHERERVILLE IN
46375-2892
US

IV. Provider business mailing address

6429 WINDMILL LN
GRANT PARK IL
60940-4418
US

V. Phone/Fax

Practice location:
  • Phone: 219-322-7658
  • Fax: 219-322-8134
Mailing address:
  • Phone: 815-465-6532
  • Fax: 815-465-6542

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number12009038A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: