Active NPIIndividual provider

Dr. Craig L Cedermark, DDS

Dentist, Endodontics in Waterford, Connecticut

NPI Number1265880199
Practice location
114 Cross RD, Waterford, CT 06385-1204
Fax
—
Last updated
August 23, 2022

Craig Lawrence Cedermark is a Dentist, Endodontics based in Waterford, CT. Craig Lawrence Cedermark practices in Waterford, CT and has the professional credentials of DDS. The NPI Number for Craig Lawrence Cedermark is 1265880199 and holds a License No. DEN03597 (RI). The current practice location address for Craig Lawrence Cedermark is 114 Cross RD, Waterford, CT 06385-1204 and can be reached out via phone at 860-447-2572.

Provider Profile Details

NPI Number
1265880199
Provider Name
Craig Lawrence Cedermark
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
114 Cross RD, Waterford, CT 06385-1204
Phone Number
860-447-2572
Primary Taxonomy
Dentist, Endodontics · 1223E0200X
Sole Proprietor
No
Provider Enumeration Date
June 1, 2016
Last Update Date
August 23, 2022
Certification Date
August 9, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
114 Cross RD
Waterford, CT 06385-1204
Zip
06385-1204
Phone Number
860-447-2572
Waterford, CT 06385Get directions →

Provider Business Mailing Address Details

Address
Professional Endodontics
114 Cross RD
Waterford, CT 06385
City
Waterford
State
CT
Zip
06385
Phone Number
604-472-5728

License Information

License Number (1)
DEN03597
License State (1)
RI
Taxonomy (1)
Dentist, Endodontics · 1223E0200X
License Number (2)
13326
License State (2)
CT
Taxonomy (2)
Dentist, Endodontics · 1223E0200X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Craig L Cedermark, DDS?

The NPI number of Dr. Craig L Cedermark, DDS is 1265880199. It was assigned on June 1, 2016 and is currently active in the NPPES registry.

What is the specialty of Dr. Craig L Cedermark, DDS?

Dr. Craig L Cedermark, DDS is registered under the primary taxonomy Dentist, Endodontics (code 1223E0200X), licensed in RI under license number DEN03597.

Where does Dr. Craig L Cedermark, DDS practice?

The practice location is 114 Cross RD, Waterford, CT 06385-1204. The office can be reached at 860-447-2572 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1265880199 directly on the NPPES registry website.

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