Provider Demographics
NPI:1528283421
Name:RAMSBOTTOM, JOHN GARNETT III (DMD)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:GARNETT
Last Name:RAMSBOTTOM
Suffix:III
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:PO BOX 279
Mailing Address - Street 2:81 NORTH MAIN STREET
Mailing Address - City:MARSHALL
Mailing Address - State:NC
Mailing Address - Zip Code:28753-0279
Mailing Address - Country:US
Mailing Address - Phone:828-649-2621
Mailing Address - Fax:
Practice Address - Street 1:81 N MAIN ST
Practice Address - Street 2:
Practice Address - City:MARSHALL
Practice Address - State:NC
Practice Address - Zip Code:28753-0040
Practice Address - Country:US
Practice Address - Phone:828-649-2621
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-16
Last Update Date:2015-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC8699122300000X
SC4293122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC5922731Medicaid