Active NPIIndividual provider

Dr. Kristianne V Macaraeg Kracke, DMD

Dentist, Pediatric Dentistry in Sicklerville, New Jersey

NPI Number1386164945
Practice location
1304 Liberty Pl, Sicklerville, NJ 08081-5710
Fax
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Last updated
January 30, 2023

Kristianne Vidal Macaraeg Kracke is a Dentist, Pediatric Dentistry based in Sicklerville, NJ. Kristianne Vidal Macaraeg Kracke practices in Sicklerville, NJ and has the professional credentials of DMD. The NPI Number for Kristianne Vidal Macaraeg Kracke is 1386164945 and holds a License No. DS041678 (PA). The current practice location address for Kristianne Vidal Macaraeg Kracke is 1304 Liberty Pl, Sicklerville, NJ 08081-5710 and can be reached out via phone at 856-875-9550.

Provider Profile Details

NPI Number
1386164945
Provider Name
Kristianne Vidal Macaraeg Kracke
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
1304 Liberty Pl, Sicklerville, NJ 08081-5710
Phone Number
856-875-9550
Primary Taxonomy
Dentist, Pediatric Dentistry · 1223P0221X
Sole Proprietor
No
Provider Enumeration Date
June 26, 2017
Last Update Date
January 30, 2023
Certification Date
January 28, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
1304 Liberty Pl
Sicklerville, NJ 08081-5710
Zip
08081-5710
Phone Number
856-875-9550
Sicklerville, NJ 08081Get directions →

Provider Business Mailing Address Details

Address
2404 Cherry St
Manasquan, NJ 08736-1523
City
Manasquan
State
NJ
Zip
08736-1523

License Information

License Number (1)
DS041678
License State (1)
PA
Taxonomy (1)
Dentist · 122300000X
License Number (2)
22DI02749000
License State (2)
NJ
Taxonomy (2)
Dentist, Pediatric Dentistry · 1223P0221X
License Number (4)
DS041678
License State (4)
PA
Taxonomy (4)
Dentist, Pediatric Dentistry · 1223P0221X · 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. Kristianne V Macaraeg Kracke, DMD?

The NPI number of Dr. Kristianne V Macaraeg Kracke, DMD is 1386164945. It was assigned on June 26, 2017 and is currently active in the NPPES registry.

What is the specialty of Dr. Kristianne V Macaraeg Kracke, DMD?

Dr. Kristianne V Macaraeg Kracke, DMD is registered under the primary taxonomy Dentist, Pediatric Dentistry (code 1223P0221X), licensed in PA under license number DS041678.

Where does Dr. Kristianne V Macaraeg Kracke, DMD practice?

The practice location is 1304 Liberty Pl, Sicklerville, NJ 08081-5710. The office can be reached at 856-875-9550 (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 1386164945 directly on the NPPES registry website.

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