Provider Demographics
NPI:1689753386
Name:CRAIG, WARREN L (DDS)
Entity Type:Individual
Prefix:DR
First Name:WARREN
Middle Name:L
Last Name:CRAIG
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 1:1020 FARMINGTON LANE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON COURT HOUSE
Mailing Address - State:OH
Mailing Address - Zip Code:43160-8758
Mailing Address - Country:US
Mailing Address - Phone:740-335-3861
Mailing Address - Fax:
Practice Address - Street 1:743 CAROLYN RD
Practice Address - Street 2:
Practice Address - City:WASHINGTON COURT HOUSE
Practice Address - State:OH
Practice Address - Zip Code:43160-2348
Practice Address - Country:US
Practice Address - Phone:740-335-6331
Practice Address - Fax:740-335-3437
Is Sole Proprietor?:No
Enumeration Date:2006-11-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH122011223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice