# CRAIG R YODER DDS PC

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

## Provider details

- **NPI number:** 1487600508
- **Authorized official:** DR. CRAIG R YODER DDS (OWNER PRESIDENT)
- **Authorized official phone:** (574) 825-1252

## Contact information

- **Practice address:** 317 W BRISTOL AVE, MIDDLEBURY, IN 46540-0513
- **Practice address phone:** (574) 825-1252
- **Practice address fax:** (574) 825-9927
- **Mailing address:** PO BOX 513, MIDDLEBURY, IN 46540-0513
- **Mailing address phone:** (574) 825-1252
- **Mailing address fax:** (574) 825-9927

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 12008835 | IN | Yes |

## Other

- **Enumeration date:** 05/26/2006
- **Last updated:** 08/22/2020