Craig M Dillon, DDS
Individual provider Active NPI Dentist · Sioux Falls, SD
NPI 1497916167 · NPPES record last updated Jun 24, 2008
Key facts
- NPI
- 1497916167
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- M853 (SD)
- Practice address
- 2200 S Minnesota Ave
Sioux Falls, SD 57105-3798 - Phone
- (605) 336-7850
- Fax
- (605) 575-0446
- NPI assigned
- Jun 24, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| M853 | SD | MD | Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | M853 | SD | Yes |
Addresses
Primary practice location
2200 S Minnesota Ave
Sioux Falls, SD 57105-3798
Mailing address
2200 S Minnesota Ave
Sioux Falls, SD 57105-3798
Phone (605) 336-7850
Other providers in Sioux Falls, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 24, 2008. 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.