DR. TIMOTHY DAVID CRAEMER


Address: Bldg 9900, 2nd Floor, U.S. Army Dental Activity - Ft Lewis, Tacoma, WA 98431-0001
Phone: 2539684039

DR. TIMOTHY DAVID CRAEMER (NPI# 1689653529) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1689653529
Entity Type Individual
Full Name DR. TIMOTHY DAVID CRAEMER
Credential DDS
Practice Address Bldg 9900, 2nd Floor
U.S. Army Dental Activity - Ft Lewis
Tacoma
WA 98431-0001
Practice Telephone 2539684039
Practice Fax Number 2538685919
Mailing Telephone 2539684039
Mailing Fax Number 2538685919
Enumeration Date 2006-01-10
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223P0300X Dentist
Specialization: Periodontics
DE00007124 WA Dental Providers
N 1223P0300X Dentist
Specialization: Periodontics
30-014276 OH Dental Providers

Office Location

Street Address BLDG 9900, 2ND FLOOR
U.S. ARMY DENTAL ACTIVITY - FT LEWIS
City TACOMA
State WA
Zip Code 98431-0001

Providers in the same location

NPI Name Taxonomy Address Enumeration
1124000526 James Edwin Newman Jr. Dentist Bldg 9900, 2nd Floor, U.S. Army Dental Activity, Tacoma, WA 98431-0001 2005-11-19
1407163553 Aaron J Yarnell Dentist Bldg 9900, 2nd Floor, Us Army Dental Activity- Fort Lewis, Tacoma, WA 98431-1100 2010-09-10
1710210315 Konrad David Ferguson Dentist Bldg 9900, 2nd Floor, U.S. Army Dental Activity - Fort Lewis, Tacoma, WA 98431-1100 2009-09-14
1023265162 Brent Alan Sorenson Dentist Bldg 9900, 2nd Floor, U.S. Army Dental Activity - Fort Lewis, Tacoma, WA 98431-1100 2008-08-20
1619070984 Raymond Laurier Tiffany Dentist Bldg 9900, 2nd Floor, U.S. Army Dental Activity - Fort Lewis, Tacoma, WA 98431-1100 2006-09-05
1063457935 Cynthia Vanessa Brito Dentist Bldg 9900, 2nd Floor, U.S. Army Dental Activity - Fort Lewis, Tacoma, WA 98431-0001 2006-06-17
1093756728 Gregory Eugene Dent Dentist Bldg 9900, 2nd Floor, U.S. Army Dental Activity - Fort Lewis, Tacoma, WA 98431-0001 2006-06-10
1366412058 Mark Alan Sundberg Dentist Bldg 9900, 2nd Floor, U.S. Army Dental Activity - Ft Lewis, Tacoma, WA 98431-0001 2006-01-25
1437129129 David Brian Hembree Dentist Bldg 9900, 2nd Floor, U.S. Army Dental Activity - Ft Lewis, Tacoma, WA 98431-0001 2006-01-25
1093795536 Edwynna Hale Miller Dentist Bldg 9900, 2nd Floor, U.S. Army Dental Activity - Ft Lewis, Tacoma, WA 98431-0001 2006-01-19
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1497212260 Catrina Renee Grugin Registered Nurse Madigan Army Medical Center, Attn Mchj-clq-c, 9040 Jackson Ave, Tacoma, WA 98431 2019-02-27
1801307681 Bianca Gomez Dental Assistant Bldg 9900 Lincoln Street, Jblm, WA 98431 2017-10-19
1184133225 Darren Paris Registered Nurse Madigan Army Medical Center 9040 Jackson Ave., Attn: Mchj-clq-c, Tacoma, WA 98431 2017-09-20
1922538206 Sarah Frerichs Dentist Madigan Annex, Second Floor, Bldg. 9900, Apo, AA 98431 2017-06-19
1740736495 Misty Hill Dental Assistant 9119 Mill Park Ave, Tacoma, WA 98431 2016-08-31
1336695535 Jacqueline D Massouda Dentist Jblm Dentac, 9900 Lincoln Sreet, 2nd Floor, Apo, AA 98431 2016-08-28
1609239375 Gregg V Palmer Licensed Practical Nurse 17th and C Street, Bldg 11582, Tacoma, WA 98431 2016-03-31
1114323904 Deanna Sheets Nurse Practitioner 911 Mil Park Ave, Tacoma, WA 98431 2014-11-06
1679905434 Austin William Schaar Dentist Building 9900, 2nd Floor, Tacoma, WA 98431 2013-08-05
1518209758 Maurice Ibrahim Khayat Internal Medicine 9040 Jackson Ave Mche-qd (creds), Tacoma, WA 98431 2013-03-26
Find all providers in zip 98431

Taxonomy Information

Taxonomy Code 1223P0300X
Grouping Dental Providers
Classification Dentist
Specialization Periodontics

Taxonomy Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1043430580 Ronald E Harmon Dentist 2302 S Union Ave Ste C22, Tacoma, WA 98405-1334 2007-04-26
1659492718 Minou Karbakhsch Dentist 2302 So. Union Ave., Suite C-22, Tacoma, WA 98405 2007-04-03
1801916515 Roy Stuart Schwartz Dentist 1901 S Union Ave Ste B4010, Tacoma, WA 98405-1804 2007-03-29
1265567184 David P Mathews Dds Ps Dentist 4050 S 19th St Ste 101, Tacoma, WA 98405 2007-02-22
1962853655 Michitsuna Katafuchi Dentist 2302 S Union Ave Ste C27, Tacoma, WA 98405 2016-06-24
1316374788 Arzu Korkmaz Bayir Dentist 4545 S Union Ave Ste 100, Tacoma, WA 98409-4532 2013-10-01
1265760474 John Woongjoon Park Dentist 3866 S 74th St Ste 200, Tacoma, WA 98409-9908 2009-11-28
1053581546 David P Mathews Dentist 4050 S 19th St, #101, Tacoma, WA 98405 2008-03-11
1053531772 Steven D Bradway Dentist 2302 S Union Ave, C21, Tacoma, WA 98405-1300 2007-04-26
1528288008 Ronald E. Harmon, D.d.s., P.s. Dentist 2302 S Union Ave Ste C22, Tacoma, WA 98405-1334 2007-04-26
Find all providers in TACOMA

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City TACOMA
Zip Code 98431

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Dataset Information

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.

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