Fisk, Craig Richard

Fisk, Craig Richard is an individual health care provider with primary practice located at 747 Old Norcross Rd , Lawrenceville GA 30046-4317. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / General Practice. Dental Providers / General Practice is his primary health care specialty. Fisk, Craig Richard can be contacted via phone (770) 995-0538.

Contact Information

Primary practice address
747 Old Norcross Rd Lawrenceville GA 30046-4317
Phone: (770) 995-0538
Fax: (770) 962-3245
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Dental Providers / General Practice 1223G0001X DN014058 Georgia

Profile Details

NPI number 1942438320
LBN Legal business name Fisk, Craig Richard
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2009
Last updated Sep 26th, 2011 - about 14 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.

Request for update

Popular Providers