MEDICARE: DR. WILLIAM ALEXANDER RAMLOW DDS

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	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry	010901	MO

General Provider Information

NPI Number	:	1144323759
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WILLIAM ALEXANDER RAMLOW DDS

Provider Business Mailing Address
First Line	:	1400 FORUM BOULEVARD
Second Line	:	SUITE 12
City	:	COLUMBIA
State	:	MO
Zip	:	65203-1997
Country	:	US
Telephone Number	:	573-446-7259
Fax Number	:	573-446-6274

Provider Business Practice Location Address
First Line	:	1400 FORUM BOULEVARD
Second Line	:	SUITE 12
City	:	COLUMBIA
State	:	MO
Zip	:	65203-1997
Country	:	US
Telephone Number	:	573-446-7259
Fax Number	:	573-446-6274

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

Provider Enumeration Date	:	09/07/2006
Last Update Date	:	07/08/2007

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