Provider Demographics
NPI:1932199346
Name:KRAMER, SYLVIA MALCMACHER (DDS)
Entity Type:Individual
Prefix:DR
First Name:SYLVIA
Middle Name:MALCMACHER
Last Name:KRAMER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24049 LAURELDALE RD
Mailing Address - Street 2:
Mailing Address - City:SHAKER HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44122-2141
Mailing Address - Country:US
Mailing Address - Phone:216-464-5555
Mailing Address - Fax:216-464-4556
Practice Address - Street 1:966 CLARK ST
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44306-1347
Practice Address - Country:US
Practice Address - Phone:330-379-1958
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-10-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30017102122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0503691Medicaid