Provider Demographics
NPI:1932218898
Name:KRAMER, SHIRLEY & DITTY, LLC
Entity Type:Organization
Organization Name:KRAMER, SHIRLEY & DITTY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:WINE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-657-0934
Mailing Address - Street 1:4002 LINGLESTOWN RD
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17112-1051
Mailing Address - Country:US
Mailing Address - Phone:717-657-0934
Mailing Address - Fax:717-657-3918
Practice Address - Street 1:4002 LINGLESTOWN RD
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17112-1051
Practice Address - Country:US
Practice Address - Phone:717-657-0934
Practice Address - Fax:717-657-3918
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty