NPI 1407066160

Ralph Edwin Woerheide, DDS

Practitioner General Practice Dentistry Olympia Fields, IL

Practice location

Address: 2601 Lincoln Hwy, Olympia Fields, IL 60461-1862
Phone: (708) 748-6179
Fax: (708) 748-1441

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence 019018086 (IL)

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Registry record

NPI: 1407066160
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 May 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.