Provider Demographics
NPI:1831399096
Name:RAMSEY, CYRUS A (DMD MD)
Entity type:Individual
Prefix:DR
First Name:CYRUS
Middle Name:A
Last Name:RAMSEY
Suffix:
Gender:M
Credentials:DMD MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:ONE FLINT HILL 10530 ROSEHAVEN ST
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22030-4900
Mailing Address - Country:US
Mailing Address - Phone:703-385-5777
Mailing Address - Fax:
Practice Address - Street 1:10530 ROSEHAVEN ST
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22030-2840
Practice Address - Country:US
Practice Address - Phone:703-385-5777
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-24
Last Update Date:2008-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04014120891223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery