Provider Demographics
NPI:1548203201
Name:RAMUS, ROBERT LYNN (DDS)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:LYNN
Last Name:RAMUS
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:203 NORTH MAIN STREET
Mailing Address - Street 2:HICKSVILLE PROFESSIONAL BUILDING
Mailing Address - City:HICKSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43526-1121
Mailing Address - Country:US
Mailing Address - Phone:419-542-8716
Mailing Address - Fax:419-542-6883
Practice Address - Street 1:203 NORTH MAIN STREET
Practice Address - Street 2:HICKSVILLE PROFESSIONAL BUILDING
Practice Address - City:HICKSVILLE
Practice Address - State:OH
Practice Address - Zip Code:43526-1121
Practice Address - Country:US
Practice Address - Phone:419-542-8716
Practice Address - Fax:419-542-6883
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-13
Last Update Date:2011-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH133441223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice