Provider Demographics
NPI:1114180395
Name:DAVID CRAIG MIER DDS INC
Entity Type:Organization
Organization Name:DAVID CRAIG MIER DDS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:CRAIG
Authorized Official - Last Name:MIER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:405-848-4545
Mailing Address - Street 1:3727 NW 63RD STREET
Mailing Address - Street 2:SUITE 210
Mailing Address - City:OKLA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73116-1923
Mailing Address - Country:US
Mailing Address - Phone:405-848-4545
Mailing Address - Fax:405-848-4545
Practice Address - Street 1:3727 NW 63RD STREET
Practice Address - Street 2:SUITE 210
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73116-1923
Practice Address - Country:US
Practice Address - Phone:405-848-4545
Practice Address - Fax:405-848-4545
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DAVID CRAIG MIER DDS INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-07-08
Last Update Date:2008-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK34421223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty