MEDICARE: DR. CRAIG HOWARD DODRILL MD

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
1	207W00000X	Ophthalmology Physician	35075039	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1003803388
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CRAIG HOWARD DODRILL MD

Provider Business Mailing Address
First Line	:	75 HOSPITAL DR
Second Line	:	SUITE 110
City	:	ATHENS
State	:	OH
Zip	:	45701-2857
Country	:	US
Telephone Number	:	740-592-4461
Fax Number	:	740-592-5899

Provider Business Practice Location Address
First Line	:	206 COLUMBUS RD STE 304
Second Line	:
City	:	ATHENS
State	:	OH
Zip	:	45701-1316
Country	:	US
Telephone Number	:	740-592-4461
Fax Number	:	740-592-5899

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/03/2005
Last Update Date	:	09/29/2025

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