Provider Demographics
NPI:1720111891
Name:BRAMY, ERIC (DDS, MS)
Entity type:Individual
Prefix:DR
First Name:ERIC
Middle Name:
Last Name:BRAMY
Suffix:
Gender:M
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6900 TYLERSVILLE RD
Mailing Address - Street 2:STE C
Mailing Address - City:MASON
Mailing Address - State:OH
Mailing Address - Zip Code:45040-1593
Mailing Address - Country:US
Mailing Address - Phone:513-754-0900
Mailing Address - Fax:513-754-1937
Practice Address - Street 1:6900 TYLERSVILLE RD
Practice Address - Street 2:STE C
Practice Address - City:MASON
Practice Address - State:OH
Practice Address - Zip Code:45040-1593
Practice Address - Country:US
Practice Address - Phone:513-754-0900
Practice Address - Fax:513-754-1937
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30-02-06731223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics