Provider Demographics
NPI:1730352964
Name:RAMOS PERIODONTICS, LLC
Entity type:Organization
Organization Name:RAMOS PERIODONTICS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:DIAZ
Authorized Official - Last Name:RAMOS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:614-832-4332
Mailing Address - Street 1:154 ERIE RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43214-3615
Mailing Address - Country:US
Mailing Address - Phone:614-832-4332
Mailing Address - Fax:
Practice Address - Street 1:450 ALKYRE RUN
Practice Address - Street 2:SUITE 260
Practice Address - City:WESTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:43082-6909
Practice Address - Country:US
Practice Address - Phone:614-891-8053
Practice Address - Fax:614-891-8061
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-09
Last Update Date:2008-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH300208101223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0300XDental ProvidersDentistPeriodonticsGroup - Single Specialty