Healthcare Provider Details

I. General information

NPI: 1811345515
Provider Name (Legal Business Name): DANA CRAIG DDS, MS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/03/2016
Last Update Date: 06/03/2025
Certification Date: 06/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

490 N KERRWOOD DR STE 201
HERMITAGE PA
16148-5202
US

IV. Provider business mailing address

490 N KERRWOOD DR STE 201
HERMITAGE PA
16148-5202
US

V. Phone/Fax

Practice location:
  • Phone: 724-981-3950
  • Fax:
Mailing address:
  • Phone: 724-981-3950
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License NumberDS039712
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: