Individual
JOHN ELLIS CRAIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
480 W LOWDER ST, MACCLENNY, FL 32063-2664
(904) 259-6291
(904) 259-4761
Mailing address
6223 SAUTERNE DR, JACKSONVILLE, FL 32210-7728
(904) 771-0568
(904) 771-3468
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN 7228
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002016100
—
FL
Enumeration date
11/20/2006
Last updated
01/28/2013
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