Provider Demographics
NPI:1831290287
Name:DOWIATT, CRAIG J (DDS)
Entity Type:Individual
Prefix:
First Name:CRAIG
Middle Name:J
Last Name:DOWIATT
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 1:11831 MASON MONTGOMERY RD
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45249-3706
Mailing Address - Country:US
Mailing Address - Phone:513-774-8900
Mailing Address - Fax:513-774-0240
Practice Address - Street 1:11831 MASON MONTGOMERY RD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45249-3706
Practice Address - Country:US
Practice Address - Phone:513-774-8900
Practice Address - Fax:513-774-0240
Is Sole Proprietor?:No
Enumeration Date:2006-09-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH16576122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist