Provider Demographics
NPI:1477689339
Name:RAMPERSAUD, AVNI C (DDS)
Entity Type:Individual
Prefix:DR
First Name:AVNI
Middle Name:C
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 1:4703 SYCAMORE SHOALS RD
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27705-6458
Mailing Address - Country:US
Mailing Address - Phone:919-383-5752
Mailing Address - Fax:
Practice Address - Street 1:205 SAGE RD
Practice Address - Street 2:SUITE #202
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27514-6995
Practice Address - Country:US
Practice Address - Phone:919-929-0489
Practice Address - Fax:919-933-3631
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC74171223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC5904566Medicaid