RAYMOND A. CRISIO, D.M.D. PC (NPI# 1104236769) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104236769 |
| Entity Type | Organization |
| Organization Name | RAYMOND A. CRISIO, D.M.D. PC |
| Practice Address |
305 Broad Evansville IL 62242-0019 |
| Mailing Address |
4933 Benchmark Centre Dr Swansea IL 62226-8927 |
| Practice Telephone | 6188532215 |
| Practice Fax Number | 6188532595 |
| Mailing Telephone | 6186324003 |
| Mailing Fax Number | 6186324073 |
| Enumeration Date | 2014-05-05 |
| Last Update Date | 2014-05-06 |
| Authorized Official Name | MR. RAYMOND A. CRISIO (OWNER) |
| Authorized Official Telephone | 6188532215 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 113052 | 05 |
| Street Address |
305 BROAD |
| City | EVANSVILLE |
| State | IL |
| Zip Code | 62242-0019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083024640 | Raymond A. Crisio Dmd PC | Dentist | 305 Broad, Evansville, IL 62242-0019 | 2014-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700185337 | Autumn Gleich | Occupational Therapist | 7018 Saint Leos Rd, Evansville, IL 62242-1602 | 2011-03-22 |
| 1407912215 | Progressive Housing, Inc. | Intermediate Care Facility, Mentally Retarded | 801 Market St, Evansville, IL 62242-1873 | 2006-12-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992306294 | Angela Mamat | Registered Nurse | 2830 Woodside Ct, Evansville, IN 47711-6731 | 2020-11-03 |
| 1114528585 | Shannon Allcron | Pharmacist | 6770 E. Virginia St., Evansville, IN 47715 | 2020-11-03 |
| 1083213607 | Medihealth Primary Care LLC | Nurse Practitioner | 2345 W Franklin St Ste 102, Evansville, IN 47712-5100 | 2020-10-23 |
| 1659970036 | Sarah Buedel | Dentist | 900 Tutor Ln Ste 103, Evansville, IN 47715-7295 | 2020-10-18 |
| 1346848132 | Katelyn Wendt | Registered Nurse | 105 S Madison St, Evansville, WI 53536-1365 | 2020-10-13 |
| 1285240390 | Amy D Perry | Nurse Practitioner | 728 N Cross Pointe Blvd # 102, Evansville, IN 47715-9163 | 2020-09-23 |
| 1669087144 | Babb Dentistry LLC | Clinic/Center | 2229 W Virginia St, Evansville, IN 47712-5214 | 2020-09-11 |
| 1902410095 | Crystal Blair | Physical Therapist | 5050 Lincoln Ave Apt Suite, Evansville, IN 47715-7390 | 2020-09-04 |
| 1831702828 | Oleg Borisyuk | Dental Hygienist | 804 S Green River Rd, Evansville, IN 47715-4106 | 2020-08-28 |
| 1790398451 | Bryant P. Burkett Dds, LLC | Clinic/Center | 5310 Pearl Dr Ste C, Evansville, IN 47712-8105 | 2020-08-24 |
| Find all providers in EVANSVILLE | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578181194 | Trisha Johnson Cahill | Dentist | 1202 W Buena Vista Rd Ste 206, Evansville, IN 47710-5134 | 2020-07-09 |
| 1497229223 | Hubert Family Dentistry LLP | Dentist | 6225 E Columbia St., Evansville, IN 47715 | 2019-01-15 |
| 1336661628 | Familia Dental Evansville LLC | Dentist | 804 S Green River Rd Ste A, Evansville, IN 47715-4106 | 2017-07-09 |
| 1548782956 | Michelle Donna Kelley | Dentist | 3700 Bellemeade Ave Ste 122, Evansville, IN 47714-0106 | 2017-07-07 |
| 1578913075 | Paul Effinger | Dentist | 961 S Kenmore Dr, Evansville, IN 47714-7514 | 2016-06-15 |
| 1255708723 | Peter Wulff | Dentist | 350 W Columbia St Ste 1-d, Evansville, IN 47710 | 2015-08-31 |
| 1710271127 | Emaun Niknafs | Dentist | 5020 W Lloyd Expy Ste 200, Evansville, IN 47712-6580 | 2011-06-02 |
| 1285945550 | Jessica Hancock Renaker | Dentist | 508 N Green River Rd, Evansville, IN 47715-2412 | 2010-07-01 |
| 1609009661 | Anna Fedak Botts | Dentist | 449 S 1st St, Evansville, WI 53536-1394 | 2009-08-25 |
| 1144458845 | Jason Michael Kuester | Dentist | 1331 W Boonville New Harmony Rd, Evansville, IN 47725-9583 | 2009-07-01 |
| Find all providers in EVANSVILLE | ||||
| City | EVANSVILLE |
| Zip Code | 62242 |
Please comment or provide details below to improve the information on RAYMOND A. CRISIO, D.M.D. PC.
| 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.