1073543005 NPI number — DR. RAMZI ANTOINE SARKIS DCHD DMD MSCD

Table of content: DR. RAMZI ANTOINE SARKIS DCHD DMD MSCD (NPI 1073543005)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1073543005 NPI number — DR. RAMZI ANTOINE SARKIS DCHD DMD MSCD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SARKIS
Provider First Name:
RAMZI
Provider Middle Name:
ANTOINE
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
DCHD DMD MSCD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
SARKIS
Provider Other First Name:
RAMZI
Provider Other Middle Name:
ANTOUN
Provider Other Name Prefix Text:
DR.
Provider Other Name Suffix Text:
Provider Other Credential Text:
DCHD DMD MSCD
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1073543005
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/01/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
922 WALTHAM ST
Provider Second Line Business Mailing Address:
SUITE 204
Provider Business Mailing Address City Name:
LEXINGTON
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
02421-8019
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
781-325-8181
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
922 WALTHAM ST
Provider Second Line Business Practice Location Address:
SUITE 204
Provider Business Practice Location Address City Name:
LEXINGTON
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
02421-8019
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
781-325-8181
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/04/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1223E0200X , with the licence number:  20630 , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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