Craik, Mackenzie
Craik, Mackenzie is an sole proprietor health care provider with primary practice located at 1243 Augusta West Pkwy , Augusta GA 30909-1807. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Craik, Mackenzie can be contacted via phone (706) 855-8989.Contact Information
Primary practice address
1243 Augusta West Pkwy
Augusta GA 30909-1807
Phone: (706) 855-8989
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | DE60459114 | Washington |
| Dental Providers / Pediatric Dentistry | 1223P0221X | D10030 | Oregon |
| Dental Providers / Pediatric Dentistry | 1223P0221X | DN015981 | Georgia |
Profile Details
| NPI number | 1558626929 |
|---|---|
| LBN Legal business name | Craik, Mackenzie |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 11th, 2012 |
| Last updated | Jan 7th, 2021 - about 4 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 | 1558626929 | NPPES |
| Rhode Island | Other | LD00078 | LICENSE NUMBER |
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