Provider Demographics
NPI:1942298567
Name:JAMES S KRAMER DDS SC
Entity Type:Organization
Organization Name:JAMES S KRAMER DDS SC
Other - Org Name:KRAMER FAMILY DENTISTRY
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER CORPORATION PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:KRAMER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:920-725-2533
Mailing Address - Street 1:940 TULLAR RD
Mailing Address - Street 2:
Mailing Address - City:NEENAH
Mailing Address - State:WI
Mailing Address - Zip Code:54956-3618
Mailing Address - Country:US
Mailing Address - Phone:920-725-2533
Mailing Address - Fax:920-725-4001
Practice Address - Street 1:940 TULLAR RD
Practice Address - Street 2:
Practice Address - City:NEENAH
Practice Address - State:WI
Practice Address - Zip Code:54956-3618
Practice Address - Country:US
Practice Address - Phone:920-725-2533
Practice Address - Fax:920-725-4001
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-07
Last Update Date:2008-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty