Provider Demographics
NPI:1821212507
Name:RAMSEY, ELLIS LOGAN JR (DDS)
Entity Type:Individual
Prefix:DR
First Name:ELLIS
Middle Name:LOGAN
Last Name:RAMSEY
Suffix:JR
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:9090 SKILLMAN ST
Mailing Address - Street 2:SUITE 267-A
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75243-8259
Mailing Address - Country:US
Mailing Address - Phone:214-348-7090
Mailing Address - Fax:214-340-5259
Practice Address - Street 1:9090 SKILLMAN ST
Practice Address - Street 2:SUITE 267-A
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75243-8259
Practice Address - Country:US
Practice Address - Phone:214-348-7090
Practice Address - Fax:214-340-5259
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX100721223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice