Provider Demographics
NPI:1619115607
Name:SCHMIDT, KYLE KRAMER (DDS, MSD)
Entity Type:Individual
Prefix:DR
First Name:KYLE
Middle Name:KRAMER
Last Name:SCHMIDT
Suffix:
Gender:M
Credentials:DDS, MSD
Other - Prefix:
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Mailing Address - Street 1:4418 RUCKER AVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98203-2397
Mailing Address - Country:US
Mailing Address - Phone:425-374-3226
Mailing Address - Fax:425-374-8394
Practice Address - Street 1:631 58TH ST SE
Practice Address - Street 2:
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98203-3736
Practice Address - Country:US
Practice Address - Phone:206-799-6334
Practice Address - Fax:425-374-8394
Is Sole Proprietor?:No
Enumeration Date:2009-01-28
Last Update Date:2009-01-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WADE000103811223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics