Individual
DR. MICHAEL RAYMOND CRADDOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2050A 2ND ST SE, KIRTLAND AFB, NM 87117-5901
(505) 846-3200
Mailing address
2050A 2ND ST SE, KIRTLAND AFB, NM 87117-1823
(719) 502-0612
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DD5009
NM
122300000X
Dentist
DEN.00009325
CO
1223G0001X
General Practice Dentistry
14481
TX
1223P0700X
Prosthodontics
14481
TX
1223P0700X
Prosthodontics
Primary
DEN.00009325
CO
Other
Enumeration date
05/05/2006
Last updated
04/14/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us