Provider Demographics
NPI:1417471285
Name:CRAMER, JOCELYN AIMEE (RDH)
Entity Type:Individual
Prefix:
First Name:JOCELYN
Middle Name:AIMEE
Last Name:CRAMER
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1999 S MAIN STREET EXT
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:15301-3200
Mailing Address - Country:US
Mailing Address - Phone:724-413-5115
Mailing Address - Fax:
Practice Address - Street 1:1999 S MAIN STREET EXT
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:PA
Practice Address - Zip Code:15301-3200
Practice Address - Country:US
Practice Address - Phone:724-413-5115
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-02
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADH069414124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist