Provider Demographics
NPI:1952518433
Name:RAMOS, SARA ALICIA (DDS)
Entity Type:Individual
Prefix:DR
First Name:SARA
Middle Name:ALICIA
Last Name:RAMOS
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:S.
Other - Middle Name:ALICIA
Other - Last Name:RAMOS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
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
Is Sole Proprietor?:No
Enumeration Date:2007-05-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC59461223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice