1982831830 NPI number — DR. SAHANA SHERYL RAMOS BDS, DMD

Table of content: DR. SAHANA SHERYL RAMOS BDS, DMD (NPI 1982831830)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1982831830 NPI number — DR. SAHANA SHERYL RAMOS BDS, DMD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
RAMOS
Provider First Name:
SAHANA
Provider Middle Name:
SHERYL
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
BDS, DMD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
SHERYL
Provider Other First Name:
SAHANA
Provider Other Middle Name:
Provider Other Name Prefix Text:
DR.
Provider Other Name Suffix Text:
Provider Other Credential Text:
BDS, DMD
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1982831830
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/27/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
26 DELUCIA WAY
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NORTH ANDOVER
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
01845-4230
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
781-791-3128
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
330 CONGRESS ST
Provider Second Line Business Practice Location Address:
FIRST FLOOR
Provider Business Practice Location Address City Name:
BOSTON
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
02210-1216
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
617-261-6440
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/18/2009

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: 1223G0001X , with the licence number:  DN1855143 , 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)