Provider Demographics
NPI:1669669933
Name:STEVEN C. RAMBACH, DDS PC
Entity Type:Organization
Organization Name:STEVEN C. RAMBACH, DDS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:CONRADES
Authorized Official - Last Name:RAMBACH
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:281-363-3374
Mailing Address - Street 1:4840 W PANTHER CREEK DR
Mailing Address - Street 2:SUITE 106
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77381-3527
Mailing Address - Country:US
Mailing Address - Phone:281-363-3374
Mailing Address - Fax:281-292-3931
Practice Address - Street 1:4840 W PANTHER CREEK DR
Practice Address - Street 2:SUITE 106
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77381-3527
Practice Address - Country:US
Practice Address - Phone:281-363-3374
Practice Address - Fax:281-292-3931
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-01
Last Update Date:2007-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13564261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental