Healthcare Provider Details

I. General information

NPI: 1992546824
Provider Name (Legal Business Name): SYLVETTE RAMOS-DIAZ DDS, MPH, MSD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/04/2024
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2002 PISGAH CHURCH RD
GREENSBORO NC
27455-3308
US

IV. Provider business mailing address

2002 PISGAH CHURCH RD
GREENSBORO NC
27455-3308
US

V. Phone/Fax

Practice location:
  • Phone: 336-271-7900
  • Fax:
Mailing address:
  • Phone: 336-271-7900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License Number14622
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License Number14622
License Number StateNC
# 3
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License Number12014435A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: