Ned Hinnant Craft, D.D.S.

Individual provider Active NPI General Practice Dentistry · Ayden, NC

NPI 1306861885 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1306861885
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
4771405 (NC)
Practice address
219 3Rd St
Ayden, NC 28513-2233
Phone
(252) 746-2801
Fax
(252) 746-2804
NPI assigned
Jul 13, 2006
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20150707002689 NC Order and Referring Only - Dentist
Practitioner - Dentist
9931411766

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
5280NCMDChiropractor
4771405NCMDGeneral Practice Dentistry

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 4771405 NC Yes

Addresses

Primary practice location

219 3Rd St
Ayden, NC 28513-2233

Mailing address

219 3Rd St
Ayden, NC 28513-2233
Phone (252) 746-2801

Other identifiers

IdentifierTypeStateIssuer
8991846MedicaidNC

Other providers in Ayden, NC

All providers in Ayden, NC · General Practice Dentistry in North Carolina

Sources for this page

Verify at the official NPI Registry.