Provider Demographics
NPI:1972711620
Name:DELSIGNORE, RONALD JOSEPH (DMD)
Entity type:Individual
Prefix:DR
First Name:RONALD
Middle Name:JOSEPH
Last Name:DELSIGNORE
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:453 DIXON RD
Mailing Address - Street 2:SUITE 4
Mailing Address - City:QUEENSBURY
Mailing Address - State:NY
Mailing Address - Zip Code:12804-1964
Mailing Address - Country:US
Mailing Address - Phone:518-793-0222
Mailing Address - Fax:
Practice Address - Street 1:453 DIXON RD
Practice Address - Street 2:SUITE 4
Practice Address - City:QUEENSBURY
Practice Address - State:NY
Practice Address - Zip Code:12804-1964
Practice Address - Country:US
Practice Address - Phone:518-793-0222
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY306591223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics