MEDICARE: LINDSAY NICHOLE LEE RAMSBOTTOM, DMD, PLLC

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	261QD0000X	Dental Clinic/Center

General Provider Information

NPI Number	:	1477318541
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LINDSAY NICHOLE LEE RAMSBOTTOM, DMD, PLLC

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	:

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	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. LINDSAY NICHOLE RAMSBOTTOM
Credential	:	DMD
Telephone Number	:	727-234-3484

Provider Enumeration Date	:	02/19/2024
Last Update Date	:	02/27/2024

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