| Justin C. Craighead Dmd, Ms, Pl | |
|
3720 Nw 43rd St Ste 102 Gainesville FL 32606-6190 | |
| (352) 263-9579 | |
| Not Available |
| Full Name | Justin C. Craighead Dmd, Ms, Pl |
|---|---|
| Speciality | Dentist - Prosthodontics |
| Location | 3720 Nw 43rd St Ste 102, Gainesville, Florida |
| Authorized Official Name and Position | Justin Craighead (PRESIDENT) |
| Authorized Official Contact | 3522639579 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Justin C. Craighead Dmd, Ms, Pl 8847 Sw 80th Ave Gainesville FL 32608-8727 Ph: (352) 263-9579 | Justin C. Craighead Dmd, Ms, Pl 3720 Nw 43rd St Ste 102 Gainesville FL 32606-6190 Ph: (352) 263-9579 |
| NPI Number | 1053709733 |
|---|---|
| Provider Enumeration Date | 01/02/2015 |
| Last Update Date | 01/02/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053709733 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | DN18965 (Florida) | Secondary |
| 1223P0700X | Dentist - Prosthodontics | DN18965 (Florida) | Primary |
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