Organization
JUSTIN C. CRAIGHEAD DMD, MS, PL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUSTIN CRAIGHEAD (PRESIDENT)
(352) 263-9579
Entity
Organization
Contact information
Practice address
3720 NW 43RD ST STE 102, GAINESVILLE, FL 32606-6190
(352) 263-9579
Mailing address
8847 SW 80TH AVE, GAINESVILLE, FL 32608-8727
(352) 263-9579
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
DN18965
FL
1223P0700X
Prosthodontics
Primary
DN18965
FL
Other
Enumeration date
01/02/2015
Last updated
01/02/2015
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