Provider Demographics
NPI:1437110384
Name:LEUKART-RAMSEY, JULIETTE ANN (DDS)
Entity Type:Individual
Prefix:DR
First Name:JULIETTE
Middle Name:ANN
Last Name:LEUKART-RAMSEY
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:MS
Other - First Name:JULIETTE
Other - Middle Name:ANN
Other - Last Name:PATEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2501 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:45503-4915
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2501 E MAIN ST
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:OH
Practice Address - Zip Code:45503-4915
Practice Address - Country:US
Practice Address - Phone:937-817-1000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-03-30
Last Update Date:2022-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30022242122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2617056Medicaid