Richard A Craig in Lockport - General Practice
Richard A Craig - NPI 1124041769
Richard A Craig is a General Practice in Lockport, Illinois. Richard A Craig practices all healthcare services and medical treatments related to General Practice. The NPI Number for Richard A Craig is 1124041769. The last update date is 2021-01-19.
Richard A Craig's current location address is 14831 W 159th St Ste 1, Lockport, Illinois. You can contact this provider via phone number 8154832980 and fax number 8157447059. The mailing address for Richard A Craig is 14831 W 159th St Ste 1, Lockport, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Richard A Craig |
|---|---|
| Address | 14831 W 159th St Ste 1, Lockport, Illinois |
| Phone Number | 8154832980 |
| Fax Number | 8157447059 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1124041769 |
|---|---|
| Provider Enumeration Date | 2006-07-25 |
| Last Updated Date | 2021-01-19 |
Provider Mailing Address Detail
| Address | 14831 W 159th St Ste 1 |
|---|---|
| City | Lockport |
| State | Illinois (IL) |
| Post Code | 604919008 |
| Phone Number | 8154832980 |
| Fax Number | 8157447059 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 19014284 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1053431981 | GROUP NPI | ||
| 1205145554 | PRACTICE LOCATION TYPE II NPI | ||
| 1295165439 | PRACTICE LOCATION TYPE II NPI | ||
| 1063649770 | GROUP NPI | ||
| 1760882005 | PRACTICE LOCATION TYPE II NPI | ||
| 1306177241 | PRACTICE LOCATION TYPE II NPI | ||
| 1508198474 | PRACTICE LOCATION TYPE II NPI |
Post Comment/ Review Below
What is the Richard A Craig's unique identification number?
The Richard A Craig has been assigned the NPI (National Provider Identifier) Number 1124041769 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Richard A Craig?
The Richard A Craig is physically situated at 14831 W 159Th St Ste 1, in the city of Lockport, state of IL, with the postal code 604919008.
What is Richard A Craig's specialized field of practice, and what is the corresponding taxonomy classification code?
The Richard A Craig's area of specialization is General Practice, and the corresponding taxonomy code that categorizes this field of practice is 1223G0001X.
On what date did Richard A Craig receive its 1124041769 assignment from the Centers for Medicare & Medicaid Services?
The Richard A Craig was assigned its 1124041769 on 2006-07-25, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Richard A Craig's details last updated?
The information pertaining to the Richard A Craig, including its address, specialty, and other details, was most recently updated on 2021-01-19.
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