Organization
CRAIG A. LIGHT, D.D.S., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRAIG LIGHT D.D.S. (OWNER-PRES.)
(765) 643-1524
Entity
Organization
Contact information
Practice address
1014 E 8TH ST, ANDERSON, IN 46012-4027
(765) 643-1524
Mailing address
1014 E 8TH ST, ANDERSON, IN 46012-4027
(765) 643-1524
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12008320A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100172070A
—
IN
Enumeration date
11/13/2015
Last updated
11/13/2015
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