Provider Demographics
NPI:1912175852
Name:JAMES K KRAMER DMD PA
Entity Type:Organization
Organization Name:JAMES K KRAMER DMD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:KENNETH
Authorized Official - Last Name:KRAMER
Authorized Official - Suffix:
Authorized Official - Credentials:DMD PA
Authorized Official - Phone:302-436-5133
Mailing Address - Street 1:PO BOX 348
Mailing Address - Street 2:13 SOUTH MAIN ST
Mailing Address - City:SELBYVILLE
Mailing Address - State:DE
Mailing Address - Zip Code:19975-0348
Mailing Address - Country:US
Mailing Address - Phone:302-436-5133
Mailing Address - Fax:302-436-5135
Practice Address - Street 1:13 SOUTH MAIN ST
Practice Address - Street 2:
Practice Address - City:SELBYVILLE
Practice Address - State:DE
Practice Address - Zip Code:19945-0348
Practice Address - Country:US
Practice Address - Phone:302-436-5133
Practice Address - Fax:302-436-5135
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-13
Last Update Date:2008-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEG1-0000974122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty