Provider Demographics
NPI:1235290602
Name:RAMPERTAAP, MAHESWAR VIC (DMD,MS)
Entity Type:Individual
Prefix:DR
First Name:MAHESWAR
Middle Name:VIC
Last Name:RAMPERTAAP
Suffix:
Gender:M
Credentials:DMD,MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2929 N UNIVERSITY DR
Mailing Address - Street 2:SUITE 203
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33065-5081
Mailing Address - Country:US
Mailing Address - Phone:954-752-3140
Mailing Address - Fax:954-752-0601
Practice Address - Street 1:2929 N UNIVERSITY DR
Practice Address - Street 2:SUITE 203
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33065-5081
Practice Address - Country:US
Practice Address - Phone:954-752-3140
Practice Address - Fax:954-752-0601
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL12194122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist