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NPI Code Detail

MEDICARE: SAUL RAMIREZ DMD

MEDICARE: SAUL RAMIREZ DMD
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
11223G0001XGeneral Practice Dentistry019033864IL
21223G0001XGeneral Practice DentistryDN10000472MA

General Provider Information

NPI Number : 1497488365
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAUL RAMIREZ DMD
Provider Business Mailing Address
First Line : 1317 S 59TH AVE
Second Line :
City : CICERO
State : IL
Zip : 60804-1129
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4148 S ARCHER AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60632-1825
Country : US
Telephone Number : 773-247-3345
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2022
Last Update Date : 09/24/2024

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