Provider Demographics
NPI:1285895532
Name:KRAMER, KEVIN J (DDS)
Entity type:Individual
Prefix:
First Name:KEVIN
Middle Name:J
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 1:5706 TURNEY RD
Mailing Address - Street 2:STE 206
Mailing Address - City:GARFIELD HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44125-3971
Mailing Address - Country:US
Mailing Address - Phone:216-581-7221
Mailing Address - Fax:
Practice Address - Street 1:5706 TURNEY RD
Practice Address - Street 2:STE 206
Practice Address - City:GARFIELD HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44125-3971
Practice Address - Country:US
Practice Address - Phone:216-581-7221
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-19
Last Update Date:2008-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH0156171223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice