Individual
DR. FREDDIE RAMOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
401 N MAIN ST, GRAVOIS MILLS, MO 65037-6253
(877) 406-2662
(573) 207-2773
Mailing address
PO BOX 777, RICHLAND, MO 65556-0777
(573) 708-7600
(577) 231-1474
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2022047667
MO
122300000X
Dentist
7086
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100302080A
—
KS
05
—
1336121615
—
KS
05
—
1336121615
—
MO
Enumeration date
11/14/2005
Last updated
05/08/2023
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