MEDICARE: DR. RALPH EDWARD UMALI DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	7209	AZ

General Provider Information

NPI Number	:	1386768331
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RALPH EDWARD UMALI DDS

Provider Business Mailing Address
First Line	:	7219 N LITCHFIELD RD BLDG 1130
Second Line	:
City	:	LUKE AFB
State	:	AZ
Zip	:	85309-1529
Country	:	US
Telephone Number	:	632-856-9046
Fax Number	:

Provider Business Practice Location Address
First Line	:	7219 N LITCHFIELD RD
Second Line	:
City	:	LUKE AFB
State	:	AZ
Zip	:	85309-1529
Country	:	US
Telephone Number	:	623-856-9046
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/16/2007
Last Update Date	:	06/15/2026

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