Provider Demographics
NPI:1871635508
Name:LOEWINGER, RONALD LEWIS (DMD)
Entity type:Individual
Prefix:DR
First Name:RONALD
Middle Name:LEWIS
Last Name:LOEWINGER
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:7 DITZEL FARM RD
Mailing Address - Street 2:
Mailing Address - City:SCOTCH PLAINS
Mailing Address - State:NJ
Mailing Address - Zip Code:07076-2946
Mailing Address - Country:US
Mailing Address - Phone:908-352-0444
Mailing Address - Fax:908-654-6778
Practice Address - Street 1:2004 MORRIS AVE
Practice Address - Street 2:
Practice Address - City:UNION
Practice Address - State:NJ
Practice Address - Zip Code:07083-3000
Practice Address - Country:US
Practice Address - Phone:908-688-4330
Practice Address - Fax:908-654-6778
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ100311223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics