Provider Demographics
NPI:1013076041
Name:S. ALICIA RAMOS DDS, PA
Entity Type:Organization
Organization Name:S. ALICIA RAMOS DDS, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SARA
Authorized Official - Middle Name:ALICIA
Authorized Official - Last Name:RAMOS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:919-493-5714
Mailing Address - Street 1:1515 W NC HIGHWAY 54
Mailing Address - Street 2:SUITE 260
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27707-5574
Mailing Address - Country:US
Mailing Address - Phone:919-493-5714
Mailing Address - Fax:919-489-7321
Practice Address - Street 1:1515 W NC HIGHWAY 54
Practice Address - Street 2:SUITE 260
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27707-5574
Practice Address - Country:US
Practice Address - Phone:919-493-5714
Practice Address - Fax:919-489-7321
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC105946122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty