Provider Demographics
NPI:1669530150
Name:RAMSAY, MAUGHAN DEAN (DDS)
Entity type:Individual
Prefix:DR
First Name:MAUGHAN
Middle Name:DEAN
Last Name:RAMSAY
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:M
Other - Middle Name:DEAN
Other - Last Name:RAMSAY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS PC
Mailing Address - Street 1:2917 CROSSING COURT
Mailing Address - Street 2:SUITE C
Mailing Address - City:CHAMPAIGN
Mailing Address - State:IL
Mailing Address - Zip Code:61822
Mailing Address - Country:US
Mailing Address - Phone:217-359-2336
Mailing Address - Fax:217-359-2406
Practice Address - Street 1:2917 CROSSING COURT
Practice Address - Street 2:SUITE C
Practice Address - City:CHAMPAIGN
Practice Address - State:IL
Practice Address - Zip Code:61822
Practice Address - Country:US
Practice Address - Phone:217-359-2336
Practice Address - Fax:217-359-2406
Is Sole Proprietor?:No
Enumeration Date:2006-12-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice