John Edwin Craddock in Newton - General Practice
John Edwin Craddock - NPI 1366643595
John Edwin Craddock is a General Practice in Newton, New Jersey. John Edwin Craddock practices all healthcare services and medical treatments related to General Practice. The NPI Number for John Edwin Craddock is 1366643595. The last update date is 2007-07-08.
John Edwin Craddock's current location address is 92 Main St, Newton, New Jersey. You can contact this provider via phone number 9733838763. The mailing address for John Edwin Craddock is 92 Main St, Newton, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Edwin Craddock |
|---|---|
| Address | 92 Main St, Newton, New Jersey |
| Phone Number | 9733838763 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1366643595 |
|---|---|
| Provider Enumeration Date | 2007-05-28 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 92 Main St |
|---|---|
| City | Newton |
| State | New Jersey (NJ) |
| Post Code | 78602046 |
| Phone Number | 9733838763 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 12674 |
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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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What is the John Edwin Craddock's unique identification number?
The John Edwin Craddock has been assigned the NPI (National Provider Identifier) Number 1366643595 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the John Edwin Craddock's physical address?
The John Edwin Craddock is physically located at 92 Main St, in the city of Newton, NJ, with the postal code 78602046.
What is the area of specialization for John Edwin Craddock, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for John Edwin Craddock is General Practice, and the corresponding taxonomy code that categorizes this area of expertise is 1223G0001X.
When did John Edwin Craddock receive its 1366643595 assignment?
The John Edwin Craddock was assigned its 1366643595 on 2007-05-28, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to John Edwin Craddock most recently updated or revised?
The information pertaining to John Edwin Craddock, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
NPI Number: 1528061710
Address: 19 Nh Route 104, Meredith, NH