Provider Demographics
NPI:1770475832
Name:R. ANTHONY RAMILLOSA, DDS, PC
Entity type:Organization
Organization Name:R. ANTHONY RAMILLOSA, DDS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:REUBEN
Authorized Official - Middle Name:A
Authorized Official - Last Name:RAMILLOSA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:503-364-7812
Mailing Address - Street 1:128 FRIENDSHIP AVE SE
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:OR
Mailing Address - Zip Code:97302-5716
Mailing Address - Country:US
Mailing Address - Phone:503-364-7812
Mailing Address - Fax:503-540-5734
Practice Address - Street 1:128 FRIENDSHIP AVE SE
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:OR
Practice Address - Zip Code:97302-5716
Practice Address - Country:US
Practice Address - Phone:503-364-7812
Practice Address - Fax:503-540-5734
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-15
Last Update Date:2025-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty