CRAIG MIRKIN (NPI# 1003983677) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003983677 |
| Entity Type | Individual |
| Full Name | CRAIG MIRKIN |
| Credential | D.D.S. |
| Practice Address |
3415 28th St Port Huron MI 48060-6931 |
| Practice Telephone | 8109845197 |
| Practice Fax Number | 8109852150 |
| Mailing Telephone | 8109845197 |
| Mailing Fax Number | 8109852150 |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223D0001X |
Dentist Specialization: Dental Public Health |
2901011180 | MI | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4046170 | 05 |
| Street Address |
3415 28TH ST |
| City | PORT HURON |
| State | MI |
| Zip Code | 48060-6931 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053408948 | County of St Clair | Dentist | 3415 28th St, Port Huron, MI 48060 | 2006-10-10 |
| 1316563885 | Damita Bracey | Counselor | 3415 28th St, Port Huron, MI 48060-6931 | 2020-06-22 |
| 1902121965 | Patricia Elizabeth Strieter | Nurse Practitioner | 3415 28th St, Port Huron, MI 48060-6931 | 2010-04-02 |
| 1245561620 | St Clair County Health Department | Public Health or Welfare | 3415 28th St, Port Huron, MI 48060-6931 | 2010-01-25 |
| 1326280587 | Sandra Kay Mangan | Nurse Practitioner | 3415 28th St, Port Huron, MI 48060-6931 | 2009-04-01 |
| 1932349396 | St Clair County Health Department | Nurse Practitioner | 3415 28th St, Port Huron, MI 48060-6931 | 2009-02-25 |
| 1609062777 | Rita Stanislowski | Registered Nurse | 3415 28th St, Port Huron, MI 48060-6931 | 2007-09-21 |
| 1700072329 | St Clair County Health Department | Clinic/Center | 3415 28th St, Port Huron, MI 48060-6931 | 2007-09-18 |
| 1316151384 | St. Clair County Health Department | Community/Behavioral Health | 3415 28th St, Port Huron, MI 48060 | 2007-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740897297 | Casey Edward Bicker | Behavior Technician | 3245 Keewahdin Rd; Fort Gratiot, Mi 48059, Port Huron, MI 48060 | 2020-09-29 |
| 1962032078 | Brianne Salchert | Peer Specialist | 1170 Michigan Rd., Port Huron, MI 48060 | 2020-01-17 |
| 1982123006 | Kenneth Shine Heuvelman | Counselor | 3522 Holland Park Ln, Port Huron, MI 48060 | 2017-09-11 |
| 1346767506 | Kelly Baker | Social Worker | 520 Superior St., Port Huron, MI 48060 | 2017-08-28 |
| 1326418609 | Jean Burleigh | Chore Provider | 614 Staton, Port Huron, MI 48060 | 2015-09-30 |
| 1205242161 | Lisa Gray | Counselor | 2885 W Rick Dr, Port Huron, MI 48060 | 2014-07-10 |
| 1861758880 | Aaron Overly | Surgery | 2609 Electric Ave Ste B&, Port Huron, MI 48060 | 2012-04-03 |
| 1942591508 | S Akram Ali | Surgery | 3270 Waldheim Dr, Port Huron, MI 48060 | 2011-04-29 |
| 1417258179 | Nicholas Alexander Tobianski | Physician Assistant | 3550 Pine Grove Avenue, Port Huron, MI 48060 | 2010-11-11 |
| 1598092769 | Blue Water Pharmacy LLC | Pharmacy | 1524 10th Street, Port Huron, MI 48060 | 2009-11-10 |
| Find all providers in zip 48060 | ||||
| Taxonomy Code | 1223D0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Dental Public Health |
| The science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053408948 | County of St Clair | Dentist | 3415 28th St, Port Huron, MI 48060 | 2006-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083211924 | Spencer P Barnes | Dentist | 300 Meadow Run Dr Ste 2, Hastings, MI 49058-9048 | 2020-10-05 |
| 1063058097 | Jean M Stolt | Dentist | 3434 M 119 Ste G, Harbor Springs, MI 49740-9373 | 2019-11-25 |
| 1508332032 | Smile North Muskegon PC | Dentist | 1915 Holton Rd Ste C, North Muskegon, MI 49445-1533 | 2018-10-23 |
| 1033620703 | All About Smiles Canton P.c | Dentist | 42180 Ford Rd Ste 301, Canton, MI 48187-3677 | 2017-10-20 |
| 1073963831 | Trevor Allen Coeling | Dentist | 628 Progress St, West Branch, MI 48661-9383 | 2016-06-13 |
| 1508229014 | Brightsmiles | Dentist | 33060 Northwestern Hwy, Suit 200, West Bloomfield, MI 48322-3693 | 2016-04-01 |
| 1073997441 | Rami Essak | Dentist | 24100 Drake Rd Ste C, Farmington Hills, MI 48335-3155 | 2015-07-16 |
| 1023404068 | Portable Smiles Consulting LLC | Dentist | 41962 Trent Ct, Canton, MI 48188-5208 | 2015-04-07 |
| 1417348129 | Acurate Mobile Medical Health Systems | Dentist | 20880 Gratiot Ave Ste 111, Eastpointe, MI 48021-2816 | 2015-02-17 |
| 1750782504 | George Daniel | Dentist | 200 Riverfront Dr Apt 3i, Detroit, MI 48226-4592 | 2014-09-11 |
| Find all providers with the same taxonomy | ||||
| City | PORT HURON |
| Zip Code | 48060 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.