Individual
DR. CRAIG ALLEN RECHKEMMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4728 S CAMPBELL AVE, SUITE 120, SPRINGFIELD, MO 65810-1724
(417) 300-9424
Mailing address
3409 N FENWICKE ST, OZARK, MO 65721-7997
(417) 234-2462
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2002012097
MO
1223D0001X
Public Health Dentistry
3693
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2002012097
MISSOURI DENTAL BOARD
MO
01
—
3693
ARKANSAS DENTAL BOARD
AR
05
—
405744707
—
MO
Enumeration date
01/27/2007
Last updated
10/17/2012
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