Provider Demographics
NPI:1043435001
Name:RONALD F GERHARD
Entity type:Organization
Organization Name:RONALD F GERHARD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRINICIPAL
Authorized Official - Prefix:DR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:FRANK
Authorized Official - Last Name:GERHARD
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:732-530-7071
Mailing Address - Street 1:225 HWY 35
Mailing Address - Street 2:
Mailing Address - City:RED BANK
Mailing Address - State:NJ
Mailing Address - Zip Code:07701
Mailing Address - Country:US
Mailing Address - Phone:732-530-7071
Mailing Address - Fax:732-530-2670
Practice Address - Street 1:225 HWY 35
Practice Address - Street 2:
Practice Address - City:RED BANK
Practice Address - State:NJ
Practice Address - Zip Code:07701
Practice Address - Country:US
Practice Address - Phone:732-530-7071
Practice Address - Fax:732-530-2670
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJDI0125021223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0300XDental ProvidersDentistPeriodonticsGroup - Single Specialty