Provider Demographics
NPI:1720145527
Name:PINON, RUTH H (DDS)
Entity type:Individual
Prefix:DR
First Name:RUTH
Middle Name:H
Last Name:PINON
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:250 NORTHAMPTON ST
Mailing Address - Street 2:
Mailing Address - City:EASTHAMPTON
Mailing Address - State:MA
Mailing Address - Zip Code:01027-1197
Mailing Address - Country:US
Mailing Address - Phone:413-527-4949
Mailing Address - Fax:413-527-1155
Practice Address - Street 1:250 NORTHAMPTON ST
Practice Address - Street 2:
Practice Address - City:EASTHAMPTON
Practice Address - State:MA
Practice Address - Zip Code:01027-1197
Practice Address - Country:US
Practice Address - Phone:413-527-4949
Practice Address - Fax:413-527-1155
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA198331223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice