Holly Ann Craner, DENTAL ASSISTANT
Individual provider Active NPI Dental Assistant · Kodiak, AK
NPI 1891961868 · NPPES record last updated Apr 30, 2008
Key facts
- NPI
- 1891961868
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dental Assistant 126800000X
- Practice address
- Building N-46 Cape Sarichef
Kodiak, AK 99619-5002 - Phone
- (907) 487-5757
- Fax
- (907) 487-5360
- NPI assigned
- Apr 30, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrated Support Command Kodiak | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Assistant | 126800000X | Yes |
Addresses
Primary practice location
Building N-46 Cape Sarichef
Kodiak, AK 99619-5002
Mailing address
Building N-46 Cape Sarichef
Kodiak, AK 99619-5002
Phone (907) 487-5757
Other providers in Kodiak, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 30, 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.