Craig, Kathleen R.
Craig, Kathleen R. is an sole proprietor health care provider with primary practice located at 6031 Monticello Ave , Dallas TX 75206-6126. She recently has only one registered license in Dental Providers / Endodontics, which is considered as her primary health care specialty. Craig, Kathleen R. can be contacted via phone (214) 826-4963.Contact Information
Primary practice address
6031 Monticello Ave
Dallas TX 75206-6126
Phone: (214) 826-4963
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Endodontics | 1223E0200X | 16176 | Texas |
Profile Details
| NPI number | 1770592396 |
|---|---|
| LBN Legal business name | Craig, Kathleen R. |
| Credentials | D.D.S., M.S. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 5th, 2006 |
| Last updated | Mar 12th, 2015 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770592396 | NPPES |
| Texas | Other | D16176 | BCBS PROVIDER # |
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