# CRAIG A. LIGHT, D.D.S., P.C.

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

## Provider details

- **NPI number:** 1649644600
- **Authorized official:** CRAIG LIGHT D.D.S. (OWNER-PRES.)
- **Authorized official phone:** (765) 643-1524

## Contact information

- **Practice address:** 1014 E 8TH ST, ANDERSON, IN 46012-4027
- **Practice address phone:** (765) 643-1524
- **Mailing address:** 1014 E 8TH ST, ANDERSON, IN 46012-4027
- **Mailing address phone:** (765) 643-1524

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 12008320A | IN | Yes |

## Other

- **Enumeration date:** 11/13/2015
- **Last updated:** 11/13/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100172070A | — | IN |