NPI 1639428634 · live from the CMS NPI Registry
Craig Elgin, DMD, MS
Dentist, Orthodontics and Dentofacial Orthopedics in North Bend, OR. National Provider Identifier 1639428634, active.
NPI record
| NPI | 1639428634 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 2901 Broadway Ave, North Bend, OR 97459 |
| Practice phone | 541-756-3181 |
| Enumerated | September 5, 2012 |
| Last updated | April 29, 2019 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics | 1223X0400X | DE 60278162 (WA) |
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | D10379 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.