Organization
DENTAL SLEEP CENTER RICHARD A CRAIG DDS LTD
Active
Parent organization
DENTAL SLEEP CENTER RICHARD A CRAIG DDS LTD
Other names
MIDWEST DENTAL SLEEP CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
DENTAL SLEEP CENTER RICHARD A CRAIG DDS LTD
Authorized official
DR. RICHARD ALLEN CRAIG DDS (PRESIDENT)
(312) 676-9892
Entity
Organization
Contact information
Practice address
14831 W 159TH ST STE 1, LOCKPORT, IL 60491-9008
(630) 218-1920
(815) 744-7059
Mailing address
14831 W 159TH ST STE 2, LOCKPORT, IL 60491-9008
(630) 218-1920
(815) 744-7059
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
207RS0012X
Sleep Medicine (Internal Medicine) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1053423285
NPI KEVIN WALLACE DMD
—
01
—
1053453936
NPI STEVEN MORAVEC DDS
—
01
—
1124041769
NPI RICHARD CRAIG DDS
—
01
—
1265442073
NPI BRIAN PRENTICE DDS
—
01
—
1447468178
NPI IVAN VALCARENGHI DDS
—
01
—
1457579682
NPI CHARLES LOCKHART DDS
—
Enumeration date
02/25/2020
Last updated
12/03/2021
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