Patricia Sue Craddock in Las Vegas - General Practice

Patricia Sue Craddock - NPI 1962547471

Patricia Sue Craddock is a General Practice in Las Vegas, Nevada. Patricia Sue Craddock practices all healthcare services and medical treatments related to General Practice. The NPI Number for Patricia Sue Craddock is 1962547471. The last update date is 2007-07-08.

Patricia Sue Craddock's current location address is 820 S 7th St, Las Vegas, Nevada. You can contact this provider via phone number 7026781835. The mailing address for Patricia Sue Craddock is 820 S 7th St, Las Vegas, Nevada. To know further, please read the information below!

Provider Profile Detail

Provider Name Patricia Sue Craddock
Address 820 S 7th St, Las Vegas, Nevada
Phone Number 7026781835
Fax Number
Sole Proprietor Y
Credentials DDS

NPI Number Detail

NPI Number 1962547471
Provider Enumeration Date 2007-02-21
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 820 S 7th St
City Las Vegas
State Nevada (NV)
Post Code 891016938
Phone Number 7026781835
Fax Number

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 2095
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.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
2202600 NV --

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FAQs about Patricia Sue Craddock

What is the unique identification code assigned to Patricia Sue Craddock by the Centers for Medicare & Medicaid Services?

The Patricia Sue Craddock has been issued the NPI (National Provider Identifier) 1962547471. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Patricia Sue Craddock is geographically located?

The Patricia Sue Craddock is physically situated at the following location: 820 S 7Th St, Las Vegas, NV, 891016938.

What is Patricia Sue Craddock's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Patricia Sue Craddock is General Practice, and the corresponding taxonomy classification code for this specialized field is 1223G0001X.

On what date did the Centers for Medicare & Medicaid Services assign the 1962547471 to Patricia Sue Craddock?

The Centers for Medicare & Medicaid Services assigned the 1962547471 to Patricia Sue Craddock on 2007-02-21.

As of what date was the information pertaining to Patricia Sue Craddock, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Patricia Sue Craddock, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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