Provider Demographics
NPI:1043438351
Name:GREGORY E KRAMER DDS & MICHAEL A GOYETTEDDS INC
Entity Type:Organization
Organization Name:GREGORY E KRAMER DDS & MICHAEL A GOYETTEDDS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TREATMENT COORDINATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:DANA
Authorized Official - Middle Name:L
Authorized Official - Last Name:ECKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-725-7022
Mailing Address - Street 1:3637 MEDINA RD STE 100
Mailing Address - Street 2:
Mailing Address - City:MEDINA
Mailing Address - State:OH
Mailing Address - Zip Code:44256-8153
Mailing Address - Country:US
Mailing Address - Phone:330-725-7022
Mailing Address - Fax:330-725-1037
Practice Address - Street 1:3637 MEDINA RD STE 100
Practice Address - Street 2:
Practice Address - City:MEDINA
Practice Address - State:OH
Practice Address - Zip Code:44256-8153
Practice Address - Country:US
Practice Address - Phone:330-725-7022
Practice Address - Fax:330-725-1037
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-23
Last Update Date:2008-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty