Provider Demographics
NPI:1386767895
Name:KRANTZ, KEVIN MARC (DDS)
Entity type:Individual
Prefix:DR
First Name:KEVIN
Middle Name:MARC
Last Name:KRANTZ
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 1:7614 BETTY JANE LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77055-6808
Mailing Address - Country:US
Mailing Address - Phone:713-956-2997
Mailing Address - Fax:
Practice Address - Street 1:8811 FRANKWAY DR
Practice Address - Street 2:SUITE F
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77096-1900
Practice Address - Country:US
Practice Address - Phone:713-666-2333
Practice Address - Fax:713-666-2485
Is Sole Proprietor?:No
Enumeration Date:2007-04-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX176721223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice