Craig Charles Willard, DDS

Primary specialty

Oral and Maxillofacial Pathology DentistryTaxonomy code 1223P0106X

License

06207 Issued in IA

Practice address

1631 Wetzel Ave BLDG 815
Ft Carson, CO 80913-4095

Phone

(719) 526-2006

Fax

(719) 526-5551

NPI assigned

Apr 25, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1326004714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1631 WETZEL AVE BLDG 815",
            "city": "FT CARSON",
            "state": "CO",
            "postal_code": "809134095",
            "telephone_number": "719-526-2006",
            "fax_number": "719-526-5551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1631 WETZEL AVE BLDG 815",
            "city": "FT CARSON",
            "state": "CO",
            "postal_code": "809134095",
            "telephone_number": "719-526-2006",
            "fax_number": "719-526-5551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLARD",
        "first_name": "CRAIG",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0106X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": "IA",
            "license": "06207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Floyd Mariano Wilfert, LAB TECHNICIAN
• John M Wilhite, M.D.
• Cori Lynn Wilkerson, MPA-C
• Dwain Davis Wilkerson, PHARM.D
• Maira Wilkin
• Nickolas Willer, PA-C
• Sarah Denise Williams Lewis, DA
• Allyson Marie Williams, RN
• Cassandra Lucille Williams, LCSW
• Debra Momilani Williams, M.D.

• Oral and Maxillofacial Pathology Dentistry in Ft Carson, CO
• Providers in Ft Carson, CO by specialty
• Oral and Maxillofacial Pathology Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.