# JUSTIN C. CRAIGHEAD DMD, MS, PL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053709733
- **Authorized official:** DR. JUSTIN CRAIGHEAD (PRESIDENT)
- **Authorized official phone:** (352) 263-9579

## Contact information

- **Practice address:** 3720 NW 43RD ST STE 102, GAINESVILLE, FL 32606-6190
- **Practice address phone:** (352) 263-9579
- **Mailing address:** 8847 SW 80TH AVE, GAINESVILLE, FL 32608-8727
- **Mailing address phone:** (352) 263-9579

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0300X | Periodontics | DN18965 | FL | — |
| 1223P0700X | Prosthodontics | DN18965 | FL | Yes |

## Other

- **Enumeration date:** 01/02/2015
- **Last updated:** 01/02/2015