Provider Demographics
NPI:1497815716
Name:RIBOLOW, GINNINE SUE (DDS)
Entity type:Individual
Prefix:DR
First Name:GINNINE
Middle Name:SUE
Last Name:RIBOLOW
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 1:203 US HIGHWAY 9
Mailing Address - Street 2:SUITE 2
Mailing Address - City:ENGLISHTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07726-8270
Mailing Address - Country:US
Mailing Address - Phone:732-972-1900
Mailing Address - Fax:732-972-1937
Practice Address - Street 1:203 US HIGHWAY 9
Practice Address - Street 2:SUITE 2
Practice Address - City:ENGLISHTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07726-8270
Practice Address - Country:US
Practice Address - Phone:732-972-1900
Practice Address - Fax:732-972-1937
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ147461223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics