Provider Demographics
NPI:1497014146
Name:RAMSEY, BRENT J (DDS)
Entity Type:Individual
Prefix:DR
First Name:BRENT
Middle Name:J
Last Name:RAMSEY
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27450 TOURNEY RD STE 160
Mailing Address - Street 2:
Mailing Address - City:VALENCIA
Mailing Address - State:CA
Mailing Address - Zip Code:91355-1863
Mailing Address - Country:US
Mailing Address - Phone:661-253-3500
Mailing Address - Fax:
Practice Address - Street 1:27450 TOURNEY RD STE 160
Practice Address - Street 2:
Practice Address - City:VALENCIA
Practice Address - State:CA
Practice Address - Zip Code:91355-1863
Practice Address - Country:US
Practice Address - Phone:661-253-3500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-05-15
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04014135131223P0106X
CA1039201223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery
No1223P0106XDental ProvidersDentistOral and Maxillofacial Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
12366116OtherCAQH NUMBER
CA103920OtherLICENSE NUMBER
VA0401413513OtherLICENSE NUMBER
FR1432789OtherDEA NUMBER