Individual
DR. RALPH ANTHONY MATACALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2302 U.S. HIGHWAY 60 EAST, EARL C CLEMENT JOB CORPS ACADEMY, MORGANFIELD, KY 42437
(270) 389-5651
(270) 389-5303
Mailing address
6602 LITTLE SCHAEFER RD, EVANSVILLE, IN 47720-8191
(812) 421-1315
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
12009711
IN
122300000X
Dentist
Primary
6665
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200262160B
—
IN
Enumeration date
04/06/2006
Last updated
08/08/2012
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