Provider Demographics
NPI:1295614428
Name:RAMPERSAUD, OLIVIA (DDS)
Entity type:Individual
Prefix:
First Name:OLIVIA
Middle Name:
Last Name:RAMPERSAUD
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31626 MYRNA ST
Mailing Address - Street 2:
Mailing Address - City:LIVONIA
Mailing Address - State:MI
Mailing Address - Zip Code:48154-3134
Mailing Address - Country:US
Mailing Address - Phone:734-386-6788
Mailing Address - Fax:
Practice Address - Street 1:3728 CRAIN HWY UNIT 105
Practice Address - Street 2:
Practice Address - City:WALDORF
Practice Address - State:MD
Practice Address - Zip Code:20603-4888
Practice Address - Country:US
Practice Address - Phone:240-448-2634
Practice Address - Fax:240-650-2167
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-01
Last Update Date:2025-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD189811223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice