| J. Andrew Craycroft D.m.d. Inc. | |
|
1711 Ashley Cir Suite 3 Bowling Green KY 42104-5801 | |
| (270) 781-4997 | |
| (270) 781-8557 |
| Full Name | J. Andrew Craycroft D.m.d. Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1711 Ashley Cir, Bowling Green, Kentucky |
| Authorized Official Name and Position | Janet M. Longest (OFFICE MGR.) |
| Authorized Official Contact | 2707814997 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| J. Andrew Craycroft D.m.d. Inc. 1711 Ashley Cir Suite 3 Bowling Green KY 42104-5801 Ph: (270) 781-4997 | J. Andrew Craycroft D.m.d. Inc. 1711 Ashley Cir Suite 3 Bowling Green KY 42104-5801 Ph: (270) 781-4997 |
| NPI Number | 1295011880 |
|---|---|
| Provider Enumeration Date | 10/26/2011 |
| Last Update Date | 10/26/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295011880 | NPI | - | NPPES |
| 21062 | Other | MCNA DENTAL | |
| 60633DM | Other | AVESIS | |
| 60061371 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 6137 (Kentucky) | Primary |
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