Provider Demographics
NPI:1013001684
Name:VINKOVICH, CRAIG E (DDS)
Entity Type:Individual
Prefix:DR
First Name:CRAIG
Middle Name:E
Last Name:VINKOVICH
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10019 HUNTING DR
Mailing Address - Street 2:
Mailing Address - City:BREAKSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44141
Mailing Address - Country:US
Mailing Address - Phone:440-526-0613
Mailing Address - Fax:440-237-2738
Practice Address - Street 1:6675 NORTH ROYALTON RD
Practice Address - Street 2:
Practice Address - City:NORTH ROYALTON
Practice Address - State:OH
Practice Address - Zip Code:44133
Practice Address - Country:US
Practice Address - Phone:440-237-3223
Practice Address - Fax:440-237-2738
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH172641223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice