Provider Demographics
NPI:1356564595
Name:NOMITH RAMDEV DMD, MSD, PLLC
Entity type:Organization
Organization Name:NOMITH RAMDEV DMD, MSD, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NOMITH
Authorized Official - Middle Name:THULA
Authorized Official - Last Name:RAMDEV
Authorized Official - Suffix:
Authorized Official - Credentials:DMD, MSD
Authorized Official - Phone:603-742-4123
Mailing Address - Street 1:69 SILVER ST
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:NH
Mailing Address - Zip Code:03820-3921
Mailing Address - Country:US
Mailing Address - Phone:603-742-4123
Mailing Address - Fax:
Practice Address - Street 1:69 SILVER ST
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:NH
Practice Address - Zip Code:03820-3921
Practice Address - Country:US
Practice Address - Phone:603-742-4123
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH35241223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0300XDental ProvidersDentistPeriodonticsGroup - Single Specialty