Provider Demographics
NPI:1659501963
Name:CRAIG F. MCBETH, D.M.D.
Entity Type:Organization
Organization Name:CRAIG F. MCBETH, D.M.D.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CRAIG
Authorized Official - Middle Name:F
Authorized Official - Last Name:MCBETH
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:603-357-1748
Mailing Address - Street 1:650 COURT ST
Mailing Address - Street 2:
Mailing Address - City:KEENE
Mailing Address - State:NH
Mailing Address - Zip Code:03431-1799
Mailing Address - Country:US
Mailing Address - Phone:603-357-1748
Mailing Address - Fax:603-355-1309
Practice Address - Street 1:650 COURT STREET
Practice Address - Street 2:SUITE #7
Practice Address - City:KEENE
Practice Address - State:NH
Practice Address - Zip Code:03431-1799
Practice Address - Country:US
Practice Address - Phone:603-357-1748
Practice Address - Fax:603-355-1309
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-21
Last Update Date:2009-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH19191223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty