Dr Ralph H Proenza, DDS is a
Dentist - General Practice based in Alma, Georgia. Dr Ralph H Proenza is licensed to practice in Georgia (license number 8143) and his current practice location is
208 S Dixon St, Alma, Georgia. He can be reached at his office (for appointments etc.) via phone at
(912) 632-8654.
NPI number for Dr Ralph H Proenza is 1538185913 and his current mailing address is Po Box 401, Alma, Georgia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1538185913.
Healthcare Provider's Profile
| Full Name | Dr Ralph H Proenza |
|---|
| Gender | Male |
|---|
| Speciality | Dentist - General Practice |
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| Location | 208 S Dixon St, Alma, Georgia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1538185913
- Provider Enumeration Date: 07/15/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Ralph H Proenza such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1538185913 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223G0001X | Dentist - General Practice | 8143 (Georgia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Ralph H Proenza is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Ralph H Proenza, DDS
Po Box 401,
Alma, GA 31510-0401
Ph: (912) 632-8654 | Dr Ralph H Proenza, DDS
208 S Dixon St,
Alma, GA 31510-2704
Ph: (912) 632-8654 |
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