Provider Demographics
NPI:1568510667
Name:RAGSDALE, HELEN E (DDS)
Entity type:Individual
Prefix:DR
First Name:HELEN
Middle Name:E
Last Name:RAGSDALE
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11615 ANGUS ROAD
Mailing Address - Street 2:STE. 101
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78759-4064
Mailing Address - Country:US
Mailing Address - Phone:512-346-4690
Mailing Address - Fax:
Practice Address - Street 1:11615 ANGUS ROAD
Practice Address - Street 2:STE. 101
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78759-4064
Practice Address - Country:US
Practice Address - Phone:512-346-4690
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX14557122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist