Provider Demographics
NPI:1073691267
Name:CRAMER, NARISA A (DMD)
Entity Type:Individual
Prefix:DR
First Name:NARISA
Middle Name:A
Last Name:CRAMER
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:DR
Other - First Name:NARISA
Other - Middle Name:A
Other - Last Name:GOODE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DMD
Mailing Address - Street 1:4450 CALIBRE XING NW STE 1206
Mailing Address - Street 2:
Mailing Address - City:ACWORTH
Mailing Address - State:GA
Mailing Address - Zip Code:30101-4104
Mailing Address - Country:US
Mailing Address - Phone:470-531-3636
Mailing Address - Fax:470-531-3531
Practice Address - Street 1:4450 CALIBRE XING NW STE 1206
Practice Address - Street 2:
Practice Address - City:ACWORTH
Practice Address - State:GA
Practice Address - Zip Code:30101-4104
Practice Address - Country:US
Practice Address - Phone:470-531-3636
Practice Address - Fax:470-531-3531
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-02
Last Update Date:2020-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA117731223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics