Provider Demographics
NPI:1497430219
Name:RAMSEY, JAKE (DDS)
Entity Type:Individual
Prefix:
First Name:JAKE
Middle Name:
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 1:135 OCOEE HILLS CIR NE
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:TN
Mailing Address - Zip Code:37323-4552
Mailing Address - Country:US
Mailing Address - Phone:423-244-3373
Mailing Address - Fax:
Practice Address - Street 1:414 BERYWOOD TRL NW
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:TN
Practice Address - Zip Code:37312-5251
Practice Address - Country:US
Practice Address - Phone:423-476-6258
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-19
Last Update Date:2023-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN12255122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist