Provider Demographics
NPI:1730211343
Name:OXLEY, RALPH ARTHUR (DDS)
Entity type:Individual
Prefix:DR
First Name:RALPH
Middle Name:ARTHUR
Last Name:OXLEY
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 1:1717 CROGHAN ST
Mailing Address - Street 2:
Mailing Address - City:FREMONT
Mailing Address - State:OH
Mailing Address - Zip Code:43420-2758
Mailing Address - Country:US
Mailing Address - Phone:419-334-4479
Mailing Address - Fax:419-334-4470
Practice Address - Street 1:1717 CROGHAN ST
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:OH
Practice Address - Zip Code:43420-2758
Practice Address - Country:US
Practice Address - Phone:419-334-4479
Practice Address - Fax:419-334-4470
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH127291223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice