JOHN ELLIS CRAIG (NPI# 1720152192) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720152192 |
| Entity Type | Individual |
| Full Name | JOHN ELLIS CRAIG |
| Credential | DDS |
| Practice Address |
480 W Lowder St Macclenny FL 32063-2664 |
| Mailing Address |
6223 Sauterne Dr Jacksonville FL 32210-7728 |
| Practice Telephone | 9042596291 |
| Practice Fax Number | 9042594761 |
| Mailing Telephone | 9047710568 |
| Mailing Fax Number | 9047713468 |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2013-01-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DN 7228 | FL | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 002016100 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902998693 | John Allen Craig | Dentist | 1608 W Yale, Muncie, IN 47304 | 2006-09-29 |
| 1285665869 | John Vincent Craig IIi | Dentist | 7240 Glenwood Ave, Boardman, OH 44512 | 2006-07-05 |
| 1538112206 | John R. Craig | Pathology | 101 E. Valenica Mesa Drive, Fullerton, CA 92835 | 2006-05-17 |
| 1447703038 | John Craig | Dentist | 4243 Lebanon Pike, Hermitage, TN 37076-2169 | 2016-07-29 |
| 1619336526 | John Craig | Student in an Organized Health Care Education/Training Program | 3295 Crawfordville Hwy, Crawfordville, FL 32327-3150 | 2016-02-19 |
| 1477999423 | John A. E. Craig | Family Medicine | 983075 Nebraska Medical Ctr, Omaha, NE 68198-3075 | 2013-05-17 |
| 1407137201 | John Anthony Craig | Anesthesiology | 45 Ne Loop 410, Suite 900, San Antonio, TX 78216-5832 | 2011-09-07 |
| 1083845010 | John Mark Craig | Physician Assistant | 124 Raymond Ave, Poughkeepsie, NY 12604-0001 | 2009-08-08 |
| 1770717456 | John Robert Craig | Otolaryngology | 3400 Spruce Street, 5th Floor, Philadelphia, PA 19104 | 2009-05-08 |
| 1770723330 | John Craig | Occupational Therapist | 700 Sweet Home Rd, Amherst, NY 14226-1444 | 2009-02-23 |
| Street Address |
480 W LOWDER ST |
| City | MACCLENNY |
| State | FL |
| Zip Code | 32063-2664 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669446357 | Whitney Ruth Taylor | Dental Hygienist | 480 W Lowder St, Macclenny, FL 32063 | 2006-02-17 |
| 1356811962 | Melody Miller Waites | Nurse Practitioner | 480 W Lowder St, Macclenny, FL 32063-2664 | 2018-11-27 |
| 1386113892 | Delaney Helms | Dental Hygienist | 480 W Lowder St, Macclenny, FL 32063-2664 | 2018-11-14 |
| 1255688933 | Kelli K Kanemaru-takeuchi | Dentist | 480 W Lowder St, Macclenny, FL 32063-2664 | 2012-08-13 |
| 1508140484 | Stephanie Melinda Crawford | Nurse Practitioner | 480 W Lowder St, Macclenny, FL 32063-2664 | 2011-10-10 |
| 1336469832 | Alanna D Eubanks | Dietitian, Registered | 480 W Lowder St, Macclenny, FL 32063-2664 | 2010-06-07 |
| 1245477181 | Rachel Mcmahan Thomas | Registered Nurse | 480 W Lowder St, Macclenny, FL 32063-2664 | 2009-01-14 |
| 1992993281 | Deborah L Griggs | Dentist | 480 W Lowder St, Macclenny, FL 32063-2664 | 2007-10-11 |
| 1104961689 | Mary Robinson | Family Medicine | 480 W Lowder St, Macclenny, FL 32063-2664 | 2007-02-21 |
| 1215078506 | Phillip Wayne Steen | Dentist | 480 W Lowder St, Macclenny, FL 32063-2664 | 2007-02-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578164976 | Justin Gary Dugger | Pharmacist | 9218 Sr-228 E, Macclenny, FL 32063 | 2020-11-03 |
| 1285175091 | Katie Rourke | Massage Therapist | 6068 -1 Larimer Rd, Macclenny, FL 32063 | 2017-03-13 |
| 1174734073 | Jane Ellen Echterling | Psychologist | Northeast Florida State Hospital, 7487 S. State Road 121, Macclenny, FL 32063 | 2007-05-24 |
| 1992879886 | Baker County Schools | Local Education Agency (LEA) | 290 Jonathan St E, Macclenny, FL 32063 | 2006-11-20 |
| 1306918271 | Baker County School Board | Local Education Agency (LEA) | 290 Jonathan Street East, Macclenny, FL 32063 | 2006-11-15 |
| 1780760967 | Patricia Ann Sova | Pharmacist | 1436 Sw 6th St, Winn Dixie #0144, Macclenny, FL 32063 | 2006-10-31 |
| 1447347992 | Annie Clara Widemond | Pharmacy Technician | 1436 State Road 121 South, Macclenny, FL 32063 | 2006-10-06 |
| 1003900713 | Luna S. Iskander | Psychiatry & Neurology | 7487 South State Road 121, Macclenny, FL 32063 | 2006-10-03 |
| 1558456103 | Cam Hoang | Family Medicine | 7487 South State Road 171, Macclenny, FL 32063 | 2006-10-03 |
| 1245323492 | Raynors Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 698 F W Macclenny Ave, Ste F, Macclenny, FL 32063 | 2006-10-02 |
| Find all providers in zip 32063 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417126699 | Lara Miriam Greenwald | Dentist | 7487 S State Road 121, Macclenny, FL 32063-5451 | 2008-02-21 |
| 1992993281 | Deborah L Griggs | Dentist | 480 W Lowder St, Macclenny, FL 32063-2664 | 2007-10-11 |
| 1215078506 | Phillip Wayne Steen | Dentist | 480 W Lowder St, Macclenny, FL 32063-2664 | 2007-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023619236 | William Garnett Newton | Dentist | 128 Yelvington Rd., East Palatka, FL 32131 | 2020-11-04 |
| 1003416017 | Phillip Jeffery Kelemen | Dentist | 5913 Plainview Dr, Port Orange, FL 32127-8911 | 2020-10-28 |
| 1215536081 | Kenneth A Mogell Dmd Pa | Dentist | 787 37th St Ste 180, Vero Beach, FL 32960-7305 | 2020-10-22 |
| 1700485729 | Wylan Bernitt | Dentist | 1215 Mercado Dr, Venice, FL 34293 | 2020-10-21 |
| 1477151520 | Beacon Dental LLC | Dentist | 800 Se 4th Ave Ste 720, Hallandale Beach, FL 33009-6496 | 2020-10-12 |
| 1972100451 | South Florida Sleep Solutions LLC | Dentist | 9100 Sw 53rd St, Cooper City, FL 33328-5021 | 2020-10-07 |
| 1346847134 | Kenward & Mayoral Dentistry Partnership | Dentist | 8950 Sw 74th Ct Ste 1212, Miami, FL 33156-3170 | 2020-10-05 |
| 1174139893 | Haitham Nabood | Dentist | 7504 Ne 6th Ct Apt 5, Miami, FL 33138-5184 | 2020-09-17 |
| 1689289613 | Sydney Taylor Brown | Dentist | 4455 Sam Mitchell Dr Unit Dental, Chipley, FL 32428-3501 | 2020-09-15 |
| 1679188957 | Kai Ta Huang | Dentist | 1950 Laurel Manor Dr Ste 160, The Villages, FL 32162-5610 | 2020-09-13 |
| Find all providers with the same taxonomy | ||||
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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.