Healthcare Provider Details

I. General information

NPI: 1194296491
Provider Name (Legal Business Name): KRAMER DENTISTRY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/12/2018
Last Update Date: 05/24/2023
Certification Date: 05/24/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9290 HIGHLAND RIDGE HEIGHTS SUITE # 120
COLORADO SPRINGS CO
80920
US

IV. Provider business mailing address

920 CARLSON DR
COLORADO SPRINGS CO
80919-3917
US

V. Phone/Fax

Practice location:
  • Phone: 719-964-3388
  • Fax:
Mailing address:
  • Phone: 719-964-3388
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. JOHN C KRAMER
Title or Position: CEO/FOUNDER
Credential: DDS
Phone: 719-964-3388