Justin C. Craighead DMD, Ms, PL

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

DN18965 Issued in FL

Legal business name

JUSTIN C. CRAIGHEAD DMD, MS, PL

Practice address

3720 NW 43Rd St Ste 102
Gainesville, FL 32606-6190

Phone

(352) 263-9579

NPI assigned

Jan 2, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Justin Craighead

Title

President

Phone

(352) 263-9579

Specialties & licenses 2

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1420156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420156800000",
    "number": "1053709733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8847 SW 80TH AVE",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326088727",
            "telephone_number": "352-263-9579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3720 NW 43RD ST STE 102",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326066190",
            "telephone_number": "352-263-9579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUSTIN C. CRAIGHEAD DMD, MS, PL",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-02",
        "last_updated": "2015-01-02",
        "status": "A",
        "authorized_official_last_name": "CRAIGHEAD",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-263-9579",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "FL",
            "license": "DN18965",
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": "FL",
            "license": "DN18965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tamarah J Jungklaus, ARNP
• Isabel Cristina Jurado-Blanco
• Joshua Martin Jurczak, RN
• Elizabeth Laura Justice
• Jeb Mahan Justice, MD
• Justin F Chance
• Ada Selina Jutba, PHARMD
• Michel Kabbash
• Adil A. Kabeer, M.D.
• Shadman Kabir

• Prosthodontics in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Prosthodontics in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.