Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 122300000X | Dentist | 1209 | RI |
NPI | 1003026725 |
---|---|
Provider Name | Dr. James Richard Ratcliffe |
First Address | Cumberland, RI 02864-7708 |
Second Address | Cumberland, RI 02864 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/05/2007 |
Last Update Date | 08/07/2007 |