Provider Demographics
NPI:1700917564
Name:KRAMER, GREGORY E (DDS)
Entity Type:Individual
Prefix:DR
First Name:GREGORY
Middle Name:E
Last Name:KRAMER
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 1:3637 MEDINA RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:MEDINA
Mailing Address - State:OH
Mailing Address - Zip Code:44256-9654
Mailing Address - Country:US
Mailing Address - Phone:330-725-7022
Mailing Address - Fax:330-725-1037
Practice Address - Street 1:3637 MEDINA RD
Practice Address - Street 2:SUITE 100
Practice Address - City:MEDINA
Practice Address - State:OH
Practice Address - Zip Code:44256-9654
Practice Address - Country:US
Practice Address - Phone:330-725-7022
Practice Address - Fax:330-725-1037
Is Sole Proprietor?:No
Enumeration Date:2007-03-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH146861223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice