Provider Demographics
NPI:1053310664
Name:KRAMPER, BRUCE JOHN (DDS, PC)
Entity Type:Individual
Prefix:
First Name:BRUCE
Middle Name:JOHN
Last Name:KRAMPER
Suffix:
Gender:M
Credentials:DDS, PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:999 N PLAZA DR
Mailing Address - Street 2:STE 210
Mailing Address - City:SCHAUMBURG
Mailing Address - State:IL
Mailing Address - Zip Code:60173-6022
Mailing Address - Country:US
Mailing Address - Phone:847-706-9135
Mailing Address - Fax:847-706-9119
Practice Address - Street 1:999 N PLAZA DR
Practice Address - Street 2:STE 210
Practice Address - City:SCHAUMBURG
Practice Address - State:IL
Practice Address - Zip Code:60173-6022
Practice Address - Country:US
Practice Address - Phone:847-706-9135
Practice Address - Fax:847-706-9119
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics