Provider Demographics
NPI:1982765335
Name:RAMBACH, STEVEN CONRADES (DDS)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:CONRADES
Last Name:RAMBACH
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4840 W PANTHER CREEK
Mailing Address - Street 2:SUITE 106
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77381
Mailing Address - Country:US
Mailing Address - Phone:281-363-3374
Mailing Address - Fax:281-292-3931
Practice Address - Street 1:4840 W PANTHER CREEK
Practice Address - Street 2:SUITE 106
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77381
Practice Address - Country:US
Practice Address - Phone:281-363-3374
Practice Address - Fax:281-292-3931
Is Sole Proprietor?:No
Enumeration Date:2006-12-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX135641223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8F0391Medicare ID - Type Unspecified