Provider Demographics
NPI:1992521264
Name:RAMIREZ CANDELARIO, FLOMAR (DMD)
Entity type:Individual
Prefix:
First Name:FLOMAR
Middle Name:
Last Name:RAMIREZ CANDELARIO
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 MAYBERRY DR UNIT B
Mailing Address - Street 2:
Mailing Address - City:WESTBOROUGH
Mailing Address - State:MA
Mailing Address - Zip Code:01581-1302
Mailing Address - Country:US
Mailing Address - Phone:786-493-3998
Mailing Address - Fax:
Practice Address - Street 1:4 MAYBERRY DR UNIT B
Practice Address - Street 2:
Practice Address - City:WESTBOROUGH
Practice Address - State:MA
Practice Address - Zip Code:01581-1302
Practice Address - Country:US
Practice Address - Phone:786-493-3998
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-02
Last Update Date:2025-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MERDH4593124Q00000X
390200000X
MADN100007041223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No124Q00000XDental ProvidersDental Hygienist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program