Provider Demographics
NPI:1912002213
Name:BRAMMER, MICHELLE ROWE (DMD)
Entity Type:Individual
Prefix:DR
First Name:MICHELLE
Middle Name:ROWE
Last Name:BRAMMER
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:9360 CEDAR CENTER WAY
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40291-4522
Mailing Address - Country:US
Mailing Address - Phone:502-239-9070
Mailing Address - Fax:502-239-9078
Practice Address - Street 1:9360 CEDAR CENTER WAY
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40291-4522
Practice Address - Country:US
Practice Address - Phone:502-239-9070
Practice Address - Fax:502-239-9078
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-13
Last Update Date:2020-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY83521223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics