Provider Demographics
NPI:1780680561
Name:RAMSEY, COLEY WILSON II (DDS)
Entity Type:Individual
Prefix:DR
First Name:COLEY
Middle Name:WILSON
Last Name:RAMSEY
Suffix:II
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 1:1206 HIGHLAND HILLS DR
Mailing Address - Street 2:
Mailing Address - City:LA VERGNE
Mailing Address - State:TN
Mailing Address - Zip Code:37086-4111
Mailing Address - Country:US
Mailing Address - Phone:615-213-1010
Mailing Address - Fax:615-459-6326
Practice Address - Street 1:693 PRESIDENT PL
Practice Address - Street 2:STE 101
Practice Address - City:SMYRNA
Practice Address - State:TN
Practice Address - Zip Code:37167-5671
Practice Address - Country:US
Practice Address - Phone:615-459-6354
Practice Address - Fax:615-459-6326
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN080191223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice