John Ellis Craig, DDS

NPI #1720152192 in Macclenny, Florida

Provider Information

NPI Number: 1720152192
Entity Type: Individual
Name: John Ellis Craig, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Nov 20, 2006
Last Updated: Jan 28, 2013

Practice Location

Address: 480 W LOWDER ST
City: Macclenny
State: Florida
ZIP Code: 32063-2664
Phone: (904) 259-6291

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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