Provider Demographics
NPI:1104810746
Name:KRAMER, AARON (DDS)
Entity type:Individual
Prefix:DR
First Name:AARON
Middle Name:
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 1:8 SURREY LANE
Mailing Address - Street 2:
Mailing Address - City:EAST SETAUKET
Mailing Address - State:NY
Mailing Address - Zip Code:11733-3817
Mailing Address - Country:US
Mailing Address - Phone:631-981-4513
Mailing Address - Fax:631-981-4519
Practice Address - Street 1:516 HAWKINS AVE
Practice Address - Street 2:
Practice Address - City:LAKE RONKONKOMA
Practice Address - State:NY
Practice Address - Zip Code:11779-2374
Practice Address - Country:US
Practice Address - Phone:631-588-9041
Practice Address - Fax:631-588-6772
Is Sole Proprietor?:No
Enumeration Date:2005-09-09
Last Update Date:2015-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0302271223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice