Healthcare Provider Details

I. General information

NPI: 1609506344
Provider Name (Legal Business Name): HALEY CATHERINE KRAMER DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/15/2022
Last Update Date: 10/02/2025
Certification Date: 10/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

31ST MEDICAL GROUP/ SGST UNIT 6180
APO AE
09604-6180
US

IV. Provider business mailing address

208 STONE RIDGE RD
GREER SC
29650-3331
US

V. Phone/Fax

Practice location:
  • Phone: 314-632-5060
  • Fax:
Mailing address:
  • Phone: 864-607-5164
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number10244
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: