Provider Demographics
NPI:1902973506
Name:RIPANI, A. ANTHONY (DDS)
Entity Type:Individual
Prefix:DR
First Name:A. ANTHONY
Middle Name:
Last Name:RIPANI
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:DR
Other - First Name:ANNIBALE
Other - Middle Name:ANTHONY
Other - Last Name:RIPANI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:8980 COOPER AVE
Mailing Address - Street 2:
Mailing Address - City:REGO PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11374-5324
Mailing Address - Country:US
Mailing Address - Phone:718-520-6717
Mailing Address - Fax:
Practice Address - Street 1:8980 COOPER AVE
Practice Address - Street 2:
Practice Address - City:REGO PARK
Practice Address - State:NY
Practice Address - Zip Code:11374-5324
Practice Address - Country:US
Practice Address - Phone:718-520-6717
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0424361223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01458337Medicaid
NYU53824Medicare UPIN