Healthcare Provider Details

I. General information

NPI: 1134140593
Provider Name (Legal Business Name): ROBERT NEIL RAMOTAR DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/21/2006
Last Update Date: 02/26/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 E 2ND ST
WESTFIELD WI
53964-9100
US

IV. Provider business mailing address

2826 3RD DR
OXFORD WI
53952-8715
US

V. Phone/Fax

Practice location:
  • Phone: 608-296-2323
  • Fax:
Mailing address:
  • Phone: 608-450-0407
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number1001057-15
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: