Provider Demographics
NPI:1437280666
Name:RAMASWAMY, SURESH (DDS)
Entity Type:Individual
Prefix:
First Name:SURESH
Middle Name:
Last Name:RAMASWAMY
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 1:515 ROUTE 304
Mailing Address - Street 2:SUITE 2F-W
Mailing Address - City:NEW CITY
Mailing Address - State:NY
Mailing Address - Zip Code:10956-3037
Mailing Address - Country:US
Mailing Address - Phone:845-634-9603
Mailing Address - Fax:845-634-9638
Practice Address - Street 1:515 ROUTE 304
Practice Address - Street 2:SUITE 2F-W
Practice Address - City:NEW CITY
Practice Address - State:NY
Practice Address - Zip Code:10956-3037
Practice Address - Country:US
Practice Address - Phone:845-634-9603
Practice Address - Fax:845-634-9638
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0413831223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics