Provider Demographics
NPI:1760644827
Name:KRAMER, KAREN A (DDS)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:A
Last Name:KRAMER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:420 MAIN ST
Mailing Address - Street 2:P.O. BOX 249
Mailing Address - City:GRAFTON
Mailing Address - State:OH
Mailing Address - Zip Code:44044-1206
Mailing Address - Country:US
Mailing Address - Phone:440-926-3441
Mailing Address - Fax:440-926-3885
Practice Address - Street 1:420 MAIN ST
Practice Address - Street 2:
Practice Address - City:GRAFTON
Practice Address - State:OH
Practice Address - Zip Code:44044-1206
Practice Address - Country:US
Practice Address - Phone:440-926-3441
Practice Address - Fax:440-926-3885
Is Sole Proprietor?:No
Enumeration Date:2008-06-30
Last Update Date:2008-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI15601122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist