Provider Demographics
NPI:1083673438
Name:KREMER, ARTHUR R (DDS)
Entity Type:Individual
Prefix:DR
First Name:ARTHUR
Middle Name:R
Last Name:KREMER
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 1:5 TOBEY DR
Mailing Address - Street 2:
Mailing Address - City:HERSCHER
Mailing Address - State:IL
Mailing Address - Zip Code:60941-9498
Mailing Address - Country:US
Mailing Address - Phone:815-426-2611
Mailing Address - Fax:815-426-2612
Practice Address - Street 1:5 TOBEY DR
Practice Address - Street 2:
Practice Address - City:HERSCHER
Practice Address - State:IL
Practice Address - Zip Code:60941-9498
Practice Address - Country:US
Practice Address - Phone:815-426-2611
Practice Address - Fax:815-426-2612
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-22
Last Update Date:2014-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0190232731223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice