Berkley Gordon Craig in Odessa - Dentist
Berkley Gordon Craig - NPI 1831319797
Berkley Gordon Craig is a Dentist in Odessa, Texas. Berkley Gordon Craig practices all healthcare services and medical treatments related to Dentist. The NPI Number for Berkley Gordon Craig is 1831319797. The last update date is 2007-07-08.
Berkley Gordon Craig's current location address is 714 N Alleghaney Ave, Odessa, Texas. You can contact this provider via phone number 4323372042 and fax number 4323372869. The mailing address for Berkley Gordon Craig is 714 N Alleghaney Ave, Odessa, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Berkley Gordon Craig |
|---|---|
| Address | 714 N Alleghaney Ave, Odessa, Texas |
| Phone Number | 4323372042 |
| Fax Number | 4323372869 |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1831319797 |
|---|---|
| Provider Enumeration Date | 2007-04-25 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 714 N Alleghaney Ave |
|---|---|
| City | Odessa |
| State | Texas (TX) |
| Post Code | 797614410 |
| Phone Number | 4323372042 |
| Fax Number | 4323372869 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 17949 |
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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 identification code assigned to Berkley Gordon Craig by the Centers for Medicare & Medicaid Services?
The Berkley Gordon Craig has been issued the NPI (National Provider Identifier) 1831319797. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Berkley Gordon Craig's facilities are geographically located?
The facilities of Berkley Gordon Craig are physically situated at the following location: 714 N Alleghaney Ave, Odessa, TX, 797614410.
What is Berkley Gordon Craig's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Berkley Gordon Craig is Dentist, and the taxonomy code that classifies this field of practice is 122300000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1831319797 to Berkley Gordon Craig?
The Berkley Gordon Craig received its 1831319797 assignment from the Centers for Medicare & Medicaid Services on 2007-04-25.
When was the Berkley Gordon Craig's information last updated?
The Berkley Gordon Craig's information was last updated on 2007-07-08.
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