Provider Demographics
NPI:1326180852
Name:SPLETZER, CRAIG ARTHUR (DDS)
Entity Type:Individual
Prefix:DR
First Name:CRAIG
Middle Name:ARTHUR
Last Name:SPLETZER
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 1:3174 MACK RD
Mailing Address - Street 2:SUITE 4
Mailing Address - City:FAIRFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:45014-5370
Mailing Address - Country:US
Mailing Address - Phone:513-860-1133
Mailing Address - Fax:
Practice Address - Street 1:3174 MACK RD
Practice Address - Street 2:SUITE 4
Practice Address - City:FAIRFIELD
Practice Address - State:OH
Practice Address - Zip Code:45014-5370
Practice Address - Country:US
Practice Address - Phone:513-860-1133
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH181091223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice