Provider Demographics
NPI:1346085537
Name:RAMOS, ERIC SHAWN JR (DMD)
Entity type:Individual
Prefix:DR
First Name:ERIC
Middle Name:SHAWN
Last Name:RAMOS
Suffix:JR
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7541 S NICHOLAS DR UNIT 312
Mailing Address - Street 2:
Mailing Address - City:OAK CREEK
Mailing Address - State:WI
Mailing Address - Zip Code:53154-1262
Mailing Address - Country:US
Mailing Address - Phone:708-752-0487
Mailing Address - Fax:
Practice Address - Street 1:5105 W MORGAN AVE
Practice Address - Street 2:
Practice Address - City:GREENFIELD
Practice Address - State:WI
Practice Address - Zip Code:53220-1540
Practice Address - Country:US
Practice Address - Phone:414-541-3480
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-28
Last Update Date:2024-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI6001568-15122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist