MEDICARE: DR. STEPHAN A RAMSAY D.D.S.,M.S.

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	17660	TX

General Provider Information

NPI Number	:	1861553455
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEPHAN A RAMSAY D.D.S.,M.S.

Provider Business Mailing Address
First Line	:	6850 AUSTIN CENTER BLVD
Second Line	:	STE# 220
City	:	AUSTIN
State	:	TX
Zip	:	78731
Country	:	US
Telephone Number	:	512-346-1384
Fax Number	:	512-346-4975

Provider Business Practice Location Address
First Line	:	6850 AUSTIN CENTER BLVD
Second Line	:	STE# 220
City	:	AUSTIN
State	:	TX
Zip	:	78731
Country	:	US
Telephone Number	:	512-346-1384
Fax Number	:	512-346-4975

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

Provider Enumeration Date	:	12/13/2006
Last Update Date	:	09/16/2021

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