Provider Demographics
NPI:1952975708
Name:GRIMES, HANNAH KRAEMER (DDS)
Entity Type:Individual
Prefix:DR
First Name:HANNAH
Middle Name:KRAEMER
Last Name:GRIMES
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:HANNAH
Other - Middle Name:RENE
Other - Last Name:KRAEMER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:8210 FLOYD CURL DR # MC8124
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-3923
Mailing Address - Country:US
Mailing Address - Phone:210-450-3100
Mailing Address - Fax:
Practice Address - Street 1:8210 FLOYD CURL DR # MC8124
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-3923
Practice Address - Country:US
Practice Address - Phone:210-450-3100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-17
Last Update Date:2022-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
OK7433122300000X
TX37897122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program