MEDICARE: LINDSAY NICHOLE LEE RAMSBOTTOM DMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223P0221X	Pediatric Dentistry	TBD	NC

General Provider Information

NPI Number	:	1104271915
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDSAY NICHOLE LEE RAMSBOTTOM DMD

Provider Business Mailing Address
First Line	:	4252 ARENDELL ST STE I
Second Line	:
City	:	MOREHEAD CITY
State	:	NC
Zip	:	28557-0015
Country	:	US
Telephone Number	:	252-515-1800
Fax Number	:	252-515-1802

Provider Business Practice Location Address
First Line	:	4252 ARENDELL ST STE I
Second Line	:
City	:	MOREHEAD CITY
State	:	NC
Zip	:	28557-0015
Country	:	US
Telephone Number	:	252-515-1800
Fax Number	:	252-515-1802

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/29/2016
Last Update Date	:	12/26/2024

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