MEDICARE: MELISSA MARLEEN RAMSEY 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	122300000X	Dentist	DE00010165	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1720099690
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELISSA MARLEEN RAMSEY DDS

Provider Business Mailing Address
First Line	:	1750 PORTLAND AVE
Second Line	:
City	:	WALLA WALLA
State	:	WA
Zip	:	99362-2228
Country	:	US
Telephone Number	:	509-525-2787
Fax Number	:	509-525-4183

Provider Business Practice Location Address
First Line	:	1750 PORTLAND AVE
Second Line	:
City	:	WALLA WALLA
State	:	WA
Zip	:	99362-2228
Country	:	US
Telephone Number	:	509-525-2787
Fax Number	:	509-525-4183

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

Provider Enumeration Date	:	08/10/2006
Last Update Date	:	11/28/2012

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