MEDICARE: DARREN RAMSEY DDS PC

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	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1669183711
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DARREN RAMSEY DDS PC

Provider Business Mailing Address
First Line	:	2983 LONG BEACH RD
Second Line	:
City	:	OCEANSIDE
State	:	NY
Zip	:	11572-3204
Country	:	US
Telephone Number	:	516-640-7401
Fax Number	:	855-201-3647

Provider Business Practice Location Address
First Line	:	5110 PARK RD STE 2A
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28209-3745
Country	:	US
Telephone Number	:	855-244-7533
Fax Number	:	855-201-3647

Authorized Official
Title or Position	:	AUTHERIZED ADMINISTRATOR
Name	:	SCOTT KAY
Credential	:
Telephone Number	:	516-640-7401

Provider Enumeration Date	:	12/09/2022
Last Update Date	:	12/09/2022

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