Provider Demographics
NPI:1376616714
Name:BEINKER, CRAIG DAVID (DDS)
Entity Type:Individual
Prefix:DR
First Name:CRAIG
Middle Name:DAVID
Last Name:BEINKER
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 1:671 COLUMBIA RD
Mailing Address - Street 2:SUITE 5
Mailing Address - City:WESTLAKE
Mailing Address - State:OH
Mailing Address - Zip Code:44145-1477
Mailing Address - Country:US
Mailing Address - Phone:440-899-1070
Mailing Address - Fax:440-899-4283
Practice Address - Street 1:671 COLUMBIA RD
Practice Address - Street 2:SUITE 5
Practice Address - City:WESTLAKE
Practice Address - State:OH
Practice Address - Zip Code:44145-1477
Practice Address - Country:US
Practice Address - Phone:440-899-1070
Practice Address - Fax:440-899-4283
Is Sole Proprietor?:No
Enumeration Date:2006-11-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH177281223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice