Provider Demographics
NPI:1679853873
Name:RANSOM, NATASHA LYNN (DDS)
Entity Type:Individual
Prefix:DR
First Name:NATASHA
Middle Name:LYNN
Last Name:RANSOM
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 1:215 E PARKWOOD AVE STE B
Mailing Address - Street 2:
Mailing Address - City:FRIENDSWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77546-5145
Mailing Address - Country:US
Mailing Address - Phone:281-993-0009
Mailing Address - Fax:
Practice Address - Street 1:215 E PARKWOOD AVE STE B
Practice Address - Street 2:
Practice Address - City:FRIENDSWOOD
Practice Address - State:TX
Practice Address - Zip Code:77546-5145
Practice Address - Country:US
Practice Address - Phone:281-993-0009
Practice Address - Fax:281-993-0095
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-19
Last Update Date:2022-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX272861223G0001X, 122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX27286OtherSTATE LICENSE