Provider Demographics
NPI:1346309721
Name:DROSKIN, CRAIG MORRIS (DDS)
Entity Type:Individual
Prefix:DR
First Name:CRAIG
Middle Name:MORRIS
Last Name:DROSKIN
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 1:900 NORTH AVE
Mailing Address - Street 2:
Mailing Address - City:GRAND JUNCTION
Mailing Address - State:CO
Mailing Address - Zip Code:81501-3105
Mailing Address - Country:US
Mailing Address - Phone:970-242-2433
Mailing Address - Fax:
Practice Address - Street 1:900 NORTH AVE
Practice Address - Street 2:
Practice Address - City:GRAND JUNCTION
Practice Address - State:CO
Practice Address - Zip Code:81501-3105
Practice Address - Country:US
Practice Address - Phone:970-242-2433
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO73231223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice