G Michael Craig, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS19989L Issued in PA

Practice address

155 South Arch Street
Suite a
Milton, PA 17847-1172

Phone

(570) 742-3014

Fax

(570) 742-8318

NPI assigned

Apr 4, 2007

Sex

Male

Sole proprietor

No

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, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1427170331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 SOUTH ARCH STREET",
            "address_2": "SUITE A",
            "city": "MILTON",
            "state": "PA",
            "postal_code": "178471172",
            "telephone_number": "570-742-3014",
            "fax_number": "570-742-8318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 SOUTH ARCH STREET",
            "address_2": "SUITE A",
            "city": "MILTON",
            "state": "PA",
            "postal_code": "178471172",
            "telephone_number": "570-742-3014",
            "fax_number": "570-742-8318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAIG",
        "first_name": "G",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS19989L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aubrey Grace Chappell, RN
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• Kristi Jo Conrad, MS
• Chris Robert Cornelius, M.D.
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• Csiu 16
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• Custom Care Pharmacy LLC

• All providers in Milton, PA
• General Practice Dentistry in Pennsylvania

• 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.