Provider Demographics
NPI:1477679280
Name:SCHRAMM, RICHARD G (DMD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:G
Last Name:SCHRAMM
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P O BOX 948
Mailing Address - Street 2:1049 NORTH HARTLAND ROAD
Mailing Address - City:WHITE RIVER JUNCTION
Mailing Address - State:VT
Mailing Address - Zip Code:05001-7161
Mailing Address - Country:US
Mailing Address - Phone:802-295-2458
Mailing Address - Fax:802-295-3985
Practice Address - Street 1:1049 NORTH HARTLAND ROAD
Practice Address - Street 2:
Practice Address - City:WHITE RIVER JUNCTION
Practice Address - State:VT
Practice Address - Zip Code:05001
Practice Address - Country:US
Practice Address - Phone:802-295-2458
Practice Address - Fax:802-295-3985
Is Sole Proprietor?:No
Enumeration Date:2007-03-22
Last Update Date:2008-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT10281223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice