MEDICARE: DR. HELEN E. RAGSDALE 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
1	122300000X	Dentist	14557	TX

General Provider Information

NPI Number	:	1568510667
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HELEN E. RAGSDALE D.D.S.

Provider Business Mailing Address
First Line	:	11615 ANGUS ROAD
Second Line	:	STE. 101
City	:	AUSTIN
State	:	TX
Zip	:	78759-4064
Country	:	US
Telephone Number	:	512-346-4690
Fax Number	:

Provider Business Practice Location Address
First Line	:	11615 ANGUS ROAD
Second Line	:	STE. 101
City	:	AUSTIN
State	:	TX
Zip	:	78759-4064
Country	:	US
Telephone Number	:	512-346-4690
Fax Number	:

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

Provider Enumeration Date	:	01/08/2007
Last Update Date	:	07/08/2007

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