Provider Demographics
NPI:1083944516
Name:RAMIREZ, JAIME (DDS)
Entity Type:Individual
Prefix:
First Name:JAIME
Middle Name:
Last Name:RAMIREZ
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12918 SHOPS PKWY
Mailing Address - Street 2:SUITE 450
Mailing Address - City:BEE CAVE
Mailing Address - State:TX
Mailing Address - Zip Code:78738-6628
Mailing Address - Country:US
Mailing Address - Phone:512-944-9020
Mailing Address - Fax:
Practice Address - Street 1:12918 SHOPS PKWY
Practice Address - Street 2:SUITE 450
Practice Address - City:BEE CAVE
Practice Address - State:TX
Practice Address - Zip Code:78738-6628
Practice Address - Country:US
Practice Address - Phone:512-944-9020
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-01-06
Last Update Date:2010-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX217881223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice