Individual
J. ANDREW CRAYCROFT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1711 ASHLEY CIR, SUITE 3, BOWLING GREEN, KY 42104-5801
(270) 781-4997
(270) 781-8557
Mailing address
1711 ASHLEY CIR, SUITE 3, BOWLING GREEN, KY 42104-5801
(270) 781-4997
(270) 781-8557
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6137
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60061371
—
KY
Enumeration date
02/21/2007
Last updated
05/27/2014
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