Provider Demographics
NPI:1699372516
Name:JAMES RAMOS ORTIZ DMD PC
Entity Type:Organization
Organization Name:JAMES RAMOS ORTIZ DMD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST PERIODONTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:RAMOS ORTIZ
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:631-365-0693
Mailing Address - Street 1:38 CAPTAINS DR
Mailing Address - Street 2:
Mailing Address - City:WEST BABYLON
Mailing Address - State:NY
Mailing Address - Zip Code:11704-8202
Mailing Address - Country:US
Mailing Address - Phone:631-365-0693
Mailing Address - Fax:
Practice Address - Street 1:55 INDIAN HEAD RD
Practice Address - Street 2:
Practice Address - City:KINGS PARK
Practice Address - State:NY
Practice Address - Zip Code:11754-3704
Practice Address - Country:US
Practice Address - Phone:631-365-0693
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-04
Last Update Date:2020-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty