MEDICARE: RICHARD STEWART KRAMER D.M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	DN15684	FL

General Provider Information

NPI Number	:	1083849582
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RICHARD STEWART KRAMER D.M.D.

Provider Business Mailing Address
First Line	:	2050 NE DIXIE HWY
Second Line	:
City	:	JENSEN BEACH
State	:	FL
Zip	:	34957-6441
Country	:	US
Telephone Number	:	772-334-1965
Fax Number	:	723-341-9667

Provider Business Practice Location Address
First Line	:	2050 NE DIXIE HWY
Second Line	:
City	:	JENSEN BEACH
State	:	FL
Zip	:	34957-6441
Country	:	US
Telephone Number	:	772-334-1965
Fax Number	:	772-334-1966

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/28/2009
Last Update Date	:	02/28/2024

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