Provider Demographics
NPI:1184905077
Name:DORINA KRAMER. DDS
Entity type:Organization
Organization Name:DORINA KRAMER. DDS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DORINA
Authorized Official - Middle Name:
Authorized Official - Last Name:KRAMER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:802-468-5626
Mailing Address - Street 1:1939 MAIN ST STE 2
Mailing Address - Street 2:P O BOX 418
Mailing Address - City:CASTLETON
Mailing Address - State:VT
Mailing Address - Zip Code:05735-4493
Mailing Address - Country:US
Mailing Address - Phone:802-468-5626
Mailing Address - Fax:802-468-5628
Practice Address - Street 1:1939 MAIN ST
Practice Address - Street 2:SUITE 2
Practice Address - City:CASTLETON
Practice Address - State:VT
Practice Address - Zip Code:05735-4493
Practice Address - Country:US
Practice Address - Phone:802-468-5626
Practice Address - Fax:802-468-5628
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-06
Last Update Date:2011-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT01600743501223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty