MEDICARE: DARREN RAMSEY DDS PLLC

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	1223G0001X	General Practice Dentistry

General Provider Information

NPI Number	:	1407479264
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DARREN RAMSEY DDS PLLC

Provider Business Mailing Address
First Line	:	225 S POPLAR ST APT 1512
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28202-0105
Country	:	US
Telephone Number	:	704-267-3041
Fax Number	:

Provider Business Practice Location Address
First Line	:	2748 INTERSTATE ST STE C
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28208-3654
Country	:	US
Telephone Number	:	888-345-1780
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. DARREN RAMSEY
Credential	:	DDS
Telephone Number	:	704-267-3041

Provider Enumeration Date	:	05/27/2020
Last Update Date	:	06/18/2020

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