Mcclure, Craig Alan

Mcclure, Craig Alan is an sole proprietor health care provider with primary practice located at 84 W Utica St , Buffalo NY 14209-1808. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Mcclure, Craig Alan can be contacted via phone (716) 886-1166.

Contact Information

Primary practice address
84 W Utica St Buffalo NY 14209-1808
Fax: (716) 883-6541
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 037529-1 New York

Profile Details

NPI number 1861517062
LBN Legal business name Mcclure, Craig Alan
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 20th, 2007
Last updated Jul 8th, 2007 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1861517062 NPPES
New York MEDICAID 00863621

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