Craig Jay Asselmeier, DMD
Individual provider Active NPI General Practice Dentistry · Perryville, MO
NPI 1487756540 · NPPES record last updated Aug 30, 2011
Key facts
- NPI
- 1487756540
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- DE015584 (MO)
- Practice address
- 300 Perry Plaza
Suite D
Perryville, MO 63775 - Phone
- (573) 547-3949
- Fax
- (573) 517-0716
- NPI assigned
- Sep 1, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DE015584 | MO | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DE015584 | MO | Yes |
Addresses
Primary practice location
300 Perry Plaza
Suite D
Perryville, MO 63775
Mailing address
300 Perry Plaza
Suite D
Perryville, MO 63775
Phone (573) 547-3949
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 406856708 | Medicaid | MO |
Other providers in Perryville, MO
- American Homepatient, Inc.
- Dennis M. Amschler
- Kristin Armbruster
- Kathleen M. Arnzen
- Karen Aromando-Williams
- B & S United Agency D/B/a Miracle Ear
- Mary Bachmann
- Emma Bartley
- Madison Paige Berkbigler
- Valerie Ann Besand
All providers in Perryville, MO · General Practice Dentistry in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 30, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.