Provider Demographics
NPI:1063426070
Name:BABICH, RONALD (DDS, LLC)
Entity type:Individual
Prefix:
First Name:RONALD
Middle Name:
Last Name:BABICH
Suffix:
Gender:M
Credentials:DDS, LLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 RIVER RD
Mailing Address - Street 2:BLDG. O, STE. 1-B
Mailing Address - City:MONTVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:07045-9441
Mailing Address - Country:US
Mailing Address - Phone:973-299-0040
Mailing Address - Fax:
Practice Address - Street 1:150 RIVER RD
Practice Address - Street 2:BLDG. O, STE. 1-B
Practice Address - City:MONTVILLE
Practice Address - State:NJ
Practice Address - Zip Code:07045-9441
Practice Address - Country:US
Practice Address - Phone:973-299-0040
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJDI12768122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist