Craig Lawrence Cedermark, D.D.S.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

13326 Issued in CT

Practice address

114 Cross Rd
Waterford, CT 06385-1204

Phone

(860) 447-2572

NPI assigned

Jun 1, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Arrowhead Dental Associates

  • General Practice Dentistry
  • Charlestown, RI
  • NPI 1336142165
  NPD (past)
• Arrowhead Dental Association

  • General Practice Dentistry
  • Charlestown, RI
  • NPI 1710022371
  NPD (past)

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

{
    "created_epoch": "1464739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661212800000",
    "number": "1265880199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PROFESSIONAL ENDODONTICS",
            "address_2": "114 CROSS RD",
            "city": "WATERFORD",
            "state": "CT",
            "postal_code": "06385",
            "telephone_number": "604-472-5728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 CROSS RD",
            "city": "WATERFORD",
            "state": "CT",
            "postal_code": "063851204",
            "telephone_number": "860-447-2572"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4995 S County Trl",
            "address_purpose": "LOCATION",
            "city": "Charlestown",
            "state": "RI",
            "postal_code": "028133182",
            "country_code": "US",
            "telephone_number": "401-364-6300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "62 Wells St",
            "address_purpose": "LOCATION",
            "city": "Westerly",
            "state": "RI",
            "postal_code": "028912924",
            "country_code": "US",
            "telephone_number": "401-637-4610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CEDERMARK",
        "first_name": "CRAIG",
        "middle_name": "LAWRENCE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-01",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "RI",
            "license": "DEN03597",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "CT",
            "license": "13326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Careco Shoreline Inc
• Christopher R Carlson, PH.D.
• Carol Madden Winslow
• Cataract and Cornea Eye Specialists, LLC
• Gail M Cauldwell, D.C.
• Anita Christina Chandrasekaran, MD, MPH
• Nauman Chaudhry, M.D.
• Child and Family Agency of Southeastern Connecticut, Inc.
• Elizabeth Faith Christian, AU.D.
• Vincent Cianciulli, DMD

• Endodontics in Waterford, CT
• Providers in Waterford, CT by specialty
• Endodontics in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2022; 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.