Provider Demographics
NPI:1811983646
Name:LAHAR, CRAIG (DMD)
Entity type:Individual
Prefix:
First Name:CRAIG
Middle Name:
Last Name:LAHAR
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 CUMBERLAND PKWY
Mailing Address - Street 2:
Mailing Address - City:MECHANICSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17055-5663
Mailing Address - Country:US
Mailing Address - Phone:717-697-6020
Mailing Address - Fax:717-697-0263
Practice Address - Street 1:200 CUMBERLAND PKWY
Practice Address - Street 2:
Practice Address - City:MECHANICSBURG
Practice Address - State:PA
Practice Address - Zip Code:17055-5663
Practice Address - Country:US
Practice Address - Phone:717-697-6020
Practice Address - Fax:717-697-0263
Is Sole Proprietor?:No
Enumeration Date:2005-09-27
Last Update Date:2007-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS027134L1223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PADS027134LOtherLICENSE
PADA027134AOtherLICENSE
PADS027134LOtherLICENSE
PA608838Medicare ID - Type Unspecified