Provider Demographics
NPI:1073971305
Name:GRAMA, ANA MARIA (DDS)
Entity Type:Individual
Prefix:DR
First Name:ANA
Middle Name:MARIA
Last Name:GRAMA
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:ANA
Other - Middle Name:MARIA
Other - Last Name:PEPTAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:10157 HEATHER SOUND DR
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33647-2901
Mailing Address - Country:US
Mailing Address - Phone:813-501-7603
Mailing Address - Fax:
Practice Address - Street 1:10157 HEATHER SOUND DR
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33647-2901
Practice Address - Country:US
Practice Address - Phone:813-501-7603
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-02-01
Last Update Date:2023-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN 22347122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist