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NPI Code Detail

MEDICARE: DR. CRAIG GLOVER PATTERSON DDS

MEDICARE:  DR. CRAIG GLOVER PATTERSON  DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist015367MO
21223G0001XGeneral Practice DentistryDEN 01536MO

General Provider Information

NPI Number : 1750464525
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CRAIG GLOVER PATTERSON DDS
Provider Business Mailing Address
First Line : 2940 STANLEY RD STE 2375
Second Line :
City : FORT SAM HOUSTON
State : TX
Zip : 78234-2740
Country : US
Telephone Number : 210-295-4095
Fax Number : 210-295-5832
Provider Business Practice Location Address
First Line : 2940 STANLEY RD STE 2375
Second Line :
City : FORT SAM HOUSTON
State : TX
Zip : 78234-2740
Country : US
Telephone Number : 210-295-4095
Fax Number : 210-295-5832
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/23/2006
Last Update Date : 04/10/2023

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Directions to “ DR. CRAIG GLOVER PATTERSON DDS” Practice Location

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