Provider Demographics
NPI:1922168418
Name:SCIMECA, CRAIG M (DDS)
Entity Type:Individual
Prefix:DR
First Name:CRAIG
Middle Name:M
Last Name:SCIMECA
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 1:2940 HUNTER MILL RD
Mailing Address - Street 2:SUITE #101
Mailing Address - City:OAKTON
Mailing Address - State:VA
Mailing Address - Zip Code:22124-1790
Mailing Address - Country:US
Mailing Address - Phone:703-281-6201
Mailing Address - Fax:703-281-6208
Practice Address - Street 1:2940 HUNTER MILL RD
Practice Address - Street 2:SUITE #101
Practice Address - City:OAKTON
Practice Address - State:VA
Practice Address - Zip Code:22124-1790
Practice Address - Country:US
Practice Address - Phone:703-281-6201
Practice Address - Fax:703-281-6208
Is Sole Proprietor?:No
Enumeration Date:2006-12-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04010069161223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice