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Richard A Craig, DDS
General Practice Dentistry in Lockport, Illinois
NPI 1124041769

Richard A Craig is a General Practice Dentistry based in Lockport, IL and is specialized in General Practice. Richard A Craig practices in Lockport, IL and has the professional credentials of DDS. The NPI Number for Richard A Craig is 1124041769 and holds a License No. 019014284 (Illinois).

The current practice location address for Richard A Craig is 14831 W 159Th St Ste 1, Lockport, IL and can be reached out via phone at 815-483-2980 and via fax at 815-744-7059.

Location: 14831 W 159Th St Ste 1, Lockport, IL, 60491-9008
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1124041769
Provider Name
Richard A Craig
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
14831 W 159Th St Ste 1, Lockport, IL, 60491-9008
Phone Number
815-483-2980
Fax Number
815-744-7059
Provider Enumeration Date
07/25/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1053431981 01 GROUP NPI
1205145554 01 PRACTICE LOCATION TYPE II NPI
1295165439 01 PRACTICE LOCATION TYPE II NPI
1063649770 01 GROUP NPI
1760882005 01 PRACTICE LOCATION TYPE II NPI
1306177241 01 PRACTICE LOCATION TYPE II NPI
1508198474 01 PRACTICE LOCATION TYPE II NPI
institution
Provider Business Practice Location Address Details
Address
14831 W 159Th St Ste 1
City
Lockport
State
Illinois
Zip
60491-9008
Phone Number
815-483-2980
Fax Number
815-744-7059
person
Provider Business Mailing Address Details
Address
14831 W 159Th St Ste 1
City
Lockport
State
Illinois
Zip
60491-9008
Phone Number
815-483-2980
Fax Number
815-744-7059
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
019014284 (Illinois)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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