Michael Raymond Craddock in Kirtland Afb - Dentist
Michael Raymond Craddock - NPI 1871541276
Michael Raymond Craddock is a Dentist in Kirtland Afb, New Mexico. Michael Raymond Craddock practices all healthcare services and medical treatments related to Dentist. The NPI Number for Michael Raymond Craddock is 1871541276. The last update date is 2021-04-14.
Michael Raymond Craddock's current location address is 2050a 2nd St Se, Kirtland Afb, New Mexico. You can contact this provider via phone number 7195020612. The mailing address for Michael Raymond Craddock is 2050a 2nd St Se, Kirtland Afb, New Mexico. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael Raymond Craddock |
|---|---|
| Address | 2050a 2nd St Se, Kirtland Afb, New Mexico |
| Phone Number | 7195020612 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1871541276 |
|---|---|
| Provider Enumeration Date | 2006-05-05 |
| Last Updated Date | 2021-04-14 |
Provider Mailing Address Detail
| Address | 2050a 2nd St Se |
|---|---|
| City | Kirtland Afb |
| State | New Mexico (NM) |
| Post Code | 871171823 |
| Phone Number | 7195020612 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | DD5009 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the unique 10-digit identifier code issued to Michael Raymond Craddock by the Centers for Medicare & Medicaid Services?
The Michael Raymond Craddock has been assigned the NPI (National Provider Identifier) 1871541276 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Michael Raymond Craddock is located?
The Michael Raymond Craddock is situated at the following address: 2050A 2Nd St Se, Kirtland Afb, NM, 871171823.
What is Michael Raymond Craddock's specialized field of practice, and what is the corresponding taxonomy classification code?
The Michael Raymond Craddock's area of specialization is Dentist, and the corresponding taxonomy code that categorizes this field of practice is 122300000X.
When did the Michael Raymond Craddock receive its 1871541276?
The Michael Raymond Craddock was issued its 1871541276 on 2006-05-05, which is the date when the organization was assigned this unique identifier.
When was the information pertaining to Michael Raymond Craddock most recently updated or revised?
The details related to Michael Raymond Craddock, including its address, specialty, and other relevant information, were last updated or revised on 2021-04-14.