Provider Demographics
NPI:1528447877
Name:MORALES, RAMIRO (DDS)
Entity type:Individual
Prefix:
First Name:RAMIRO
Middle Name:
Last Name:MORALES
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8588 STARKEY RD
Mailing Address - Street 2:SUITE C
Mailing Address - City:LARGO
Mailing Address - State:FL
Mailing Address - Zip Code:33777-2831
Mailing Address - Country:US
Mailing Address - Phone:727-392-7734
Mailing Address - Fax:
Practice Address - Street 1:8588 STARKEY RD
Practice Address - Street 2:SUITE C
Practice Address - City:LARGO
Practice Address - State:FL
Practice Address - Zip Code:33777
Practice Address - Country:US
Practice Address - Phone:727-392-7734
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-20
Last Update Date:2015-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN211271223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics