Provider Demographics
NPI:1013657063
Name:RAMKISSOON WEISS DENTAL PLLC
Entity Type:Organization
Organization Name:RAMKISSOON WEISS DENTAL PLLC
Other - Org Name:OAK HILL DENTAL GROUP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHANN
Authorized Official - Middle Name:
Authorized Official - Last Name:RAMKISSOON
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:386-752-3043
Mailing Address - Street 1:272 SW BENTLEY PL
Mailing Address - Street 2:
Mailing Address - City:LAKE CITY
Mailing Address - State:FL
Mailing Address - Zip Code:32025-6972
Mailing Address - Country:US
Mailing Address - Phone:386-752-3043
Mailing Address - Fax:
Practice Address - Street 1:272 SW BENTLEY PL
Practice Address - Street 2:
Practice Address - City:LAKE CITY
Practice Address - State:FL
Practice Address - Zip Code:32025-6972
Practice Address - Country:US
Practice Address - Phone:386-752-3043
Practice Address - Fax:386-755-1466
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-29
Last Update Date:2023-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
No261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDentalGroup - Single Specialty