Macaraeg Kracke, Kristianne Vidal

Macaraeg Kracke, Kristianne Vidal is an individual health care provider with primary practice located at 1304 Liberty Pl , Sicklerville NJ 08081-5710. She recently has 3 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Pediatric Dentistry, Student, Health Care / Student in an Organized Health Care Education/Training Program. Dental Providers / Pediatric Dentistry is her primary health care specialty. Macaraeg Kracke, Kristianne Vidal can be contacted via phone (856) 875-9550.

Contact Information

Primary practice address
1304 Liberty Pl Sicklerville NJ 08081-5710
Phone: (856) 875-9550
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DS041678 Pennsylvania
Dental Providers / Pediatric Dentistry 1223P0221X 22DI02749000 New Jersey
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Dental Providers / Pediatric Dentistry 1223P0221X DS041678 Pennsylvania

Profile Details

NPI number 1386164945
LBN Legal business name Macaraeg Kracke, Kristianne Vidal
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2017
Last updated Jan 30th, 2023 - about 2 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.

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