Organization
ORAL AND MAXILLOFACIAL SURGEONS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH E KRAM DMD (ORAL SURGEON)
(314) 569-2201
Entity
Organization
Contact information
Practice address
456 N NEW BALLAS RD, SUITE 249, CREVE COEUR, MO 63141-6831
(314) 569-2201
(314) 569-2320
Mailing address
456 N NEW BALLAS RD, SUITE 249, CREVE COEUR, MO 63141-6831
(314) 569-2201
(314) 569-2320
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
13560
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
111519
CIGNA HMO DR ABRAMS
MO
01
—
111520
CIGNA HMO DR KRAM
MO
01
—
29075
BCBS MED DR ABRAMS
MO
01
—
29086
BCBS MED DR KRAM
MO
01
—
T70963
MEDICARE ID- TYPE UNSPECIFIED- DR KRAM
MO
01
—
T80996
MEDICARE ID- TYPE UNSPECIFIED- DR ABRAMS
MO
Enumeration date
08/30/2006
Last updated
09/25/2008
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