Provider Demographics
NPI:1134282973
Name:RAMOS, IVETTE M (DMD, FAGD)
Entity Type:Individual
Prefix:DR
First Name:IVETTE
Middle Name:M
Last Name:RAMOS
Suffix:
Gender:F
Credentials:DMD, FAGD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3731 NW 40TH TER
Mailing Address - Street 2:SUITE A
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32606-6182
Mailing Address - Country:US
Mailing Address - Phone:352-376-6366
Mailing Address - Fax:352-376-3099
Practice Address - Street 1:3731 NW 40TH TER
Practice Address - Street 2:SUITE A
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32606-6182
Practice Address - Country:US
Practice Address - Phone:352-376-6366
Practice Address - Fax:352-376-3099
Is Sole Proprietor?:No
Enumeration Date:2006-12-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN00127751223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice