Provider Demographics
NPI:1053481077
Name:KRAMER, MICHAEL ANASTASIOS (DDS)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:ANASTASIOS
Last Name:KRAMER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:616 BOSTON POST RD
Mailing Address - Street 2:SUITE G
Mailing Address - City:SUDBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01776-3376
Mailing Address - Country:US
Mailing Address - Phone:978-440-7003
Mailing Address - Fax:
Practice Address - Street 1:616 BOSTON POST RD
Practice Address - Street 2:SUITE G
Practice Address - City:SUDBURY
Practice Address - State:MA
Practice Address - Zip Code:01776-3376
Practice Address - Country:US
Practice Address - Phone:978-440-7003
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-08
Last Update Date:2013-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA183931223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics