| Ian Craig, Dmd Pc | |
|
5840 Ne Cornell Rd Hillsboro OR 97124-9000 | |
| (503) 970-9202 | |
| Not Available |
| Full Name | Ian Craig, Dmd Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 5840 Ne Cornell Rd, Hillsboro, Oregon |
| Authorized Official Name and Position | Ian Craig (DENTIST/ OWNER) |
| Authorized Official Contact | 5039709202 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ian Craig, Dmd Pc 14494 Sw 130th Ave Tigard OR 97224-1778 Ph: (503) 970-9202 | Ian Craig, Dmd Pc 5840 Ne Cornell Rd Hillsboro OR 97124-9000 Ph: (503) 970-9202 |
| NPI Number | 1811642432 |
|---|---|
| Provider Enumeration Date | 02/14/2022 |
| Last Update Date | 02/14/2022 |
| Medicare PECOS PAC ID | 2769918929 |
|---|---|
| Medicare Enrollment ID | O20241211001481 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811642432 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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