Provider Demographics
NPI:1215095831
Name:WEINSTEIN, RALPH STEVEN (DDS)
Entity type:Individual
Prefix:DR
First Name:RALPH
Middle Name:STEVEN
Last Name:WEINSTEIN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3309 SOUTH ROCKFIELD DRIVE
Mailing Address - Street 2:DEVON
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19810-3226
Mailing Address - Country:US
Mailing Address - Phone:302-478-3163
Mailing Address - Fax:302-479-5403
Practice Address - Street 1:3522 SILVERSIDE RD
Practice Address - Street 2:SUITE 29
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19810-4911
Practice Address - Country:US
Practice Address - Phone:302-478-6787
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DE814122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist