Provider Demographics
NPI:1891707964
Name:BAGINSKI, CRAIG RAYMOND (DDS)
Entity Type:Individual
Prefix:DR
First Name:CRAIG
Middle Name:RAYMOND
Last Name:BAGINSKI
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 1:709 BALLYBUNION CIR
Mailing Address - Street 2:
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75044-5125
Mailing Address - Country:US
Mailing Address - Phone:972-272-3496
Mailing Address - Fax:972-272-1214
Practice Address - Street 1:1605 N GARLAND AVE
Practice Address - Street 2:SUITE B
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75040-9417
Practice Address - Country:US
Practice Address - Phone:972-272-3496
Practice Address - Fax:072-272-1214
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX14602122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist