Provider Demographics
NPI:1225017197
Name:RAMELLINI, JOSEPH ANTHONY (DMD)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:ANTHONY
Last Name:RAMELLINI
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 1:23140 MOAKLEY ST
Mailing Address - Street 2:SUITE # 5
Mailing Address - City:LEONARDTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:20650-2930
Mailing Address - Country:US
Mailing Address - Phone:301-475-2881
Mailing Address - Fax:301-475-5486
Practice Address - Street 1:23140 MOAKLEY ST
Practice Address - Street 2:SUITE # 5
Practice Address - City:LEONARDTOWN
Practice Address - State:MD
Practice Address - Zip Code:20650-2930
Practice Address - Country:US
Practice Address - Phone:301-475-2881
Practice Address - Fax:301-475-5486
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD128701223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice