Provider Demographics
NPI:1407163801
Name:BRAMANTI, THOMAS E SR (DDS, PHD)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:E
Last Name:BRAMANTI
Suffix:SR
Gender:M
Credentials:DDS, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5660 N FRESNO ST
Mailing Address - Street 2:SUITE #110
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93710-8343
Mailing Address - Country:US
Mailing Address - Phone:559-438-7800
Mailing Address - Fax:559-490-6488
Practice Address - Street 1:5660 N FRESNO ST
Practice Address - Street 2:SUITE #110
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93710-8343
Practice Address - Country:US
Practice Address - Phone:559-438-7800
Practice Address - Fax:559-490-6488
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-07
Last Update Date:2010-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA403391223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics