Provider Demographics
NPI:1669580734
Name:RAMDEV, NOMITH THULA (DMD)
Entity type:Individual
Prefix:DR
First Name:NOMITH
Middle Name:THULA
Last Name:RAMDEV
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:69 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:603-742-2392
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:603-742-2392
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH035241223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics