Provider Demographics
NPI:1144401647
Name:RAMOS, SAMUEL LOUIS (DR)
Entity type:Individual
Prefix:MR
First Name:SAMUEL
Middle Name:LOUIS
Last Name:RAMOS
Suffix:
Gender:M
Credentials:DR
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:7125 MARVIN D LOVE FWY
Mailing Address - Street 2:203
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75237-3175
Mailing Address - Country:US
Mailing Address - Phone:972-298-1050
Mailing Address - Fax:972-298-2825
Practice Address - Street 1:7125 MARVIN D LOVE FWY
Practice Address - Street 2:203
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75237-3175
Practice Address - Country:US
Practice Address - Phone:972-298-1050
Practice Address - Fax:972-298-2825
Is Sole Proprietor?:No
Enumeration Date:2007-11-26
Last Update Date:2007-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX142361223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice