Individual
DR. CRAIG ALAN LIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1014 E 8TH ST, ANDERSON, IN 46012-4027
(765) 643-1524
(765) 643-1549
Mailing address
1014 E 8TH ST, ANDERSON, IN 46012-4027
(765) 643-1524
(765) 643-1549
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12008320A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
732901
UNITED CONCORDIA
IN
Enumeration date
02/06/2006
Last updated
07/09/2007
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