Provider Demographics
NPI:1063934396
Name:RAMOS TOLEDO, JOSE MARIA (DDS, MS, PGD)
Entity type:Individual
Prefix:DR
First Name:JOSE MARIA
Middle Name:
Last Name:RAMOS TOLEDO
Suffix:
Gender:M
Credentials:DDS, MS, PGD
Other - Prefix:DR
Other - First Name:JOSE MARIA
Other - Middle Name:
Other - Last Name:RAMOS-TOLEDO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DDS, MS, PGD
Mailing Address - Street 1:346 SUMMIT VIEW AVE SE
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:OR
Mailing Address - Zip Code:97306-3001
Mailing Address - Country:US
Mailing Address - Phone:734-881-2170
Mailing Address - Fax:
Practice Address - Street 1:2790 NE 106TH AVE STE A
Practice Address - Street 2:
Practice Address - City:HILLSBORO
Practice Address - State:OR
Practice Address - Zip Code:97124-7449
Practice Address - Country:US
Practice Address - Phone:503-844-0700
Practice Address - Fax:503-844-0721
Is Sole Proprietor?:No
Enumeration Date:2017-07-07
Last Update Date:2024-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE614907531223P0300X
ORD120241223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics