Provider Demographics
NPI:1922981778
Name:GRAMOPADHYE, VIKRAM (DDS)
Entity type:Individual
Prefix:DR
First Name:VIKRAM
Middle Name:
Last Name:GRAMOPADHYE
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1214,GREEN ACRES DRIVE
Mailing Address - Street 2:
Mailing Address - City:FORT ERIE
Mailing Address - State:ONTARIO
Mailing Address - Zip Code:L2A0E1
Mailing Address - Country:CA
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6660 PEACH ST # C12
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16509-7720
Practice Address - Country:US
Practice Address - Phone:181-473-7003
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-29
Last Update Date:2025-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS0453741223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice