Healthcare Provider Details

I. General information

NPI: 1992521264
Provider Name (Legal Business Name): FLOMAR RAMIREZ CANDELARIO DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/02/2024
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4 MEETING HOUSE RD
CHELMSFORD MA
01824-2766
US

IV. Provider business mailing address

4 MEETING HOUSE RD
CHELMSFORD MA
01824-2766
US

V. Phone/Fax

Practice location:
  • Phone: 978-256-9728
  • Fax: 978-256-9846
Mailing address:
  • Phone: 978-256-9728
  • Fax: 978-256-9846

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code124Q00000X
TaxonomyDental Hygienist
License NumberRDH4593
License Number StateME
# 2
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberDN10000704
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: