Provider Demographics
NPI:1497861165
Name:RAGSDALE, JUDITH ANN (DDS, MSD)
Entity Type:Individual
Prefix:DR
First Name:JUDITH
Middle Name:ANN
Last Name:RAGSDALE
Suffix:
Gender:F
Credentials:DDS, MSD
Other - Prefix:
Other - First Name:PEDIATRIC
Other - Middle Name:DENTISTRY OF THE
Other - Last Name:WOODLANDS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1001 MEDICAL PLAZA DR
Mailing Address - Street 2:350
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77380-3241
Mailing Address - Country:US
Mailing Address - Phone:281-367-8805
Mailing Address - Fax:281-419-7613
Practice Address - Street 1:1001 MEDICAL PLAZA DR
Practice Address - Street 2:350
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77380-3241
Practice Address - Country:US
Practice Address - Phone:281-367-8805
Practice Address - Fax:281-419-7613
Is Sole Proprietor?:No
Enumeration Date:2006-08-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX143561223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX81D743OtherBLUE CROSS BLUE SHIELD