Provider Demographics
NPI:1700077872
Name:KRAMARCZYK, KAREN ANN (DDS)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:ANN
Last Name:KRAMARCZYK
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:KAREN
Other - Middle Name:ANN
Other - Last Name:FELTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:44870 W HATHAWAY AVE
Mailing Address - Street 2:P.O. BOX 116
Mailing Address - City:MARICOPA
Mailing Address - State:AZ
Mailing Address - Zip Code:85139
Mailing Address - Country:US
Mailing Address - Phone:520-568-7004
Mailing Address - Fax:520-568-7094
Practice Address - Street 1:44870 W HATHAWAY AVE
Practice Address - Street 2:
Practice Address - City:MARICOPA
Practice Address - State:AZ
Practice Address - Zip Code:85139
Practice Address - Country:US
Practice Address - Phone:520-568-7004
Practice Address - Fax:520-568-7094
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-05
Last Update Date:2012-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ5959122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist