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NPI Code Detail

MEDICARE: DR. MICHAEL R RAMOS D.D.S.

MEDICARE: DR. MICHAEL R RAMOS D.D.S.
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
11223G0001XGeneral Practice Dentistry2901019215MI

General Provider Information

NPI Number : 1194733352
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHAEL R RAMOS D.D.S.
Provider Business Mailing Address
First Line : 2021 YARMOUTH
Second Line :
City : ROCHESTER
State : MI
Zip : 48307
Country : US
Telephone Number : 248-703-2319
Fax Number :
Provider Business Practice Location Address
First Line : 26500 W HURON RIVER DR
Second Line :
City : FLAT ROCK
State : MI
Zip : 48134-1135
Country : US
Telephone Number : 734-782-3500
Fax Number : 734-782-0938
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/04/2006
Last Update Date : 07/08/2007

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