Provider Demographics
NPI:1205186491
Name:JESTER, CRAIG WILLARD (DDS)
Entity Type:Individual
Prefix:DR
First Name:CRAIG
Middle Name:WILLARD
Last Name:JESTER
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 1:606 E MARSHALL ST
Mailing Address - Street 2:SUITE 208
Mailing Address - City:WEST CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19380-4452
Mailing Address - Country:US
Mailing Address - Phone:610-696-6070
Mailing Address - Fax:610-692-6502
Practice Address - Street 1:606 E MARSHALL ST
Practice Address - Street 2:SUITE 208
Practice Address - City:WEST CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19380-4452
Practice Address - Country:US
Practice Address - Phone:610-696-6070
Practice Address - Fax:610-692-6502
Is Sole Proprietor?:No
Enumeration Date:2012-09-14
Last Update Date:2012-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS018390L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice