Provider Demographics
NPI:1194031302
Name:RAMSEY, KEVIN G (DMD)
Entity Type:Individual
Prefix:MR
First Name:KEVIN
Middle Name:G
Last Name:RAMSEY
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3336 E CHANDLER HEIGHTS RD
Mailing Address - Street 2:SUITE 115
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85298-4263
Mailing Address - Country:US
Mailing Address - Phone:480-207-6001
Mailing Address - Fax:480-207-6002
Practice Address - Street 1:3336 E CHANDLER HEIGHTS RD
Practice Address - Street 2:SUITE 115
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85298-4263
Practice Address - Country:US
Practice Address - Phone:480-207-6001
Practice Address - Fax:480-207-6002
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-25
Last Update Date:2018-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZD80251223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice