Provider Demographics
NPI:1386620573
Name:LEYNES, MARIJOYCE RAMOS (DDS, MSD)
Entity type:Individual
Prefix:DR
First Name:MARIJOYCE
Middle Name:RAMOS
Last Name:LEYNES
Suffix:
Gender:F
Credentials:DDS, MSD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:UW ORAL MEDICINE CLINICAL SERVICES
Mailing Address - Street 2:1959 NE PACIFIC AVENUE
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98195-0001
Mailing Address - Country:US
Mailing Address - Phone:206-543-6501
Mailing Address - Fax:206-616-8577
Practice Address - Street 1:UNIVERSITY OF WASHINGTON
Practice Address - Street 2:1959 NE PACIFIC AVE.
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98195-0001
Practice Address - Country:US
Practice Address - Phone:206-553-9302
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-12-20
Last Update Date:2011-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORD85091223G0001X
WADE 60228332122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223G0001XDental ProvidersDentistGeneral Practice