Provider Demographics
NPI:1205440013
Name:RAMEY, GENNA (DDS)
Entity type:Individual
Prefix:DR
First Name:GENNA
Middle Name:
Last Name:RAMEY
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28735 BRADNER DR
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:MI
Mailing Address - Zip Code:48088-6303
Mailing Address - Country:US
Mailing Address - Phone:586-219-2278
Mailing Address - Fax:
Practice Address - Street 1:45100 STERRITT ST STE 101
Practice Address - Street 2:
Practice Address - City:UTICA
Practice Address - State:MI
Practice Address - Zip Code:48317-5846
Practice Address - Country:US
Practice Address - Phone:867-391-2105
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-31
Last Update Date:2024-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI29016006851223G0001X, 122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223G0001XDental ProvidersDentistGeneral Practice