Provider Demographics
NPI:1598753873
Name:ADELMANN, CRAIG NORBERT (DDS)
Entity Type:Individual
Prefix:DR
First Name:CRAIG
Middle Name:NORBERT
Last Name:ADELMANN
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 1:14247 OCONNELL CT
Mailing Address - Street 2:#100
Mailing Address - City:SAVAGE
Mailing Address - State:MN
Mailing Address - Zip Code:55378-2878
Mailing Address - Country:US
Mailing Address - Phone:952-226-3560
Mailing Address - Fax:952-226-3562
Practice Address - Street 1:14247 OCONNELL CT
Practice Address - Street 2:#100
Practice Address - City:SAVAGE
Practice Address - State:MN
Practice Address - Zip Code:55378-2878
Practice Address - Country:US
Practice Address - Phone:952-226-3560
Practice Address - Fax:952-226-3562
Is Sole Proprietor?:No
Enumeration Date:2005-10-11
Last Update Date:2015-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN100081223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice