Provider Demographics
NPI:1023160116
Name:RAMALHO, CHRISTINE MARIE (DMD)
Entity type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:MARIE
Last Name:RAMALHO
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:593 EDDY STREET
Mailing Address - Street 2:JOSEPH SAMUELS DENTAL CENTER AT RIH
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02903-4925
Mailing Address - Country:US
Mailing Address - Phone:401-444-7195
Mailing Address - Fax:401-444-3494
Practice Address - Street 1:593 EDDY STREET
Practice Address - Street 2:JOSEPH SAMUELS DENTAL CENTER AT RIH
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02903-4925
Practice Address - Country:US
Practice Address - Phone:401-444-7195
Practice Address - Fax:401-444-3494
Is Sole Proprietor?:No
Enumeration Date:2007-01-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIDEN023541223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
RICR24684Medicaid