Provider Demographics
NPI:1578019253
Name:DEBRA L. CRAIG DDS,PS
Entity Type:Organization
Organization Name:DEBRA L. CRAIG DDS,PS
Other - Org Name:HARMONY FAMILY DENTAL
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:CRAIG
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:509-467-1562
Mailing Address - Street 1:10103 N DIVISION ST STE 201
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99218-1383
Mailing Address - Country:US
Mailing Address - Phone:509-467-1562
Mailing Address - Fax:509-467-1740
Practice Address - Street 1:10103 N DIVISION ST STE 201
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99218-1383
Practice Address - Country:US
Practice Address - Phone:509-467-1562
Practice Address - Fax:509-467-1740
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-31
Last Update Date:2016-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA9890261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1215940226Medicare PIN