Organization
CRAYGRAFT LLC
Active
Other names
Premiere Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW JONATHAN CRAFT DMD (MEMBER)
(205) 621-5304
Entity
Organization
Contact information
Practice address
9200 HIGHWAY 119, SUITE 200, ALABASTER, AL 35007-5337
(205) 621-5304
Mailing address
9200 HIGHWAY 119, SUITE 200, ALABASTER, AL 35007-5337
(205) 621-5304
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
3975
AL
1223G0001X
General Practice Dentistry
5006
AL
1223G0001X
General Practice Dentistry
Primary
5013
AL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
4187
AL
Other
Enumeration date
12/31/2007
Last updated
01/04/2008
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