Provider Demographics
NPI:1669530994
Name:KRAYER, JOE WILLIAM (DDS, MS)
Entity type:Individual
Prefix:DR
First Name:JOE
Middle Name:WILLIAM
Last Name:KRAYER
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Gender:M
Credentials:DDS, MS
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Mailing Address - Street 1:130 RIVER LANDING DR
Mailing Address - Street 2:#5111
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29492
Mailing Address - Country:US
Mailing Address - Phone:843-471-2580
Mailing Address - Fax:843-792-7809
Practice Address - Street 1:173 ASHLEY BSB 346
Practice Address - Street 2:DENTAL FACULTY PRAC COLLEGE OF DENTAL MEDICINE MUSC
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29425
Practice Address - Country:US
Practice Address - Phone:843-792-3444
Practice Address - Fax:843-792-7809
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-06
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
SCID00211223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics