NPI 1992923726 · live from the CMS NPI Registry
Ellene Noell Craig, DMD
Dentist, Orthodontics and Dentofacial Orthopedics in Augusta, GA. National Provider Identifier 1992923726, active.
NPI record
| NPI | 1992923726 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 1450 Greene St Apt 310, Augusta, GA 30901 |
| Practice phone | 706-364-9966 |
| Enumerated | April 24, 2007 |
| Last updated | July 8, 2007 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | DN013343 (GA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.