Provider Demographics
NPI:1235623984
Name:CHRIS L. CRAMER, DDS PLLC
Entity Type:Organization
Organization Name:CHRIS L. CRAMER, DDS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRIS
Authorized Official - Middle Name:L
Authorized Official - Last Name:CRAMER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS MS MBA
Authorized Official - Phone:940-382-8122
Mailing Address - Street 1:1308 CRESCENT ST
Mailing Address - Street 2:
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76201-2702
Mailing Address - Country:US
Mailing Address - Phone:940-382-8122
Mailing Address - Fax:
Practice Address - Street 1:1308 CRESCENT ST
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76201-2702
Practice Address - Country:US
Practice Address - Phone:940-382-8122
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-17
Last Update Date:2018-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX289331223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX28933OtherDENTAL LICENSE