MEDICARE: DR. JAY CRAIG 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
1	122300000X	Dentist	12008849A	IN

General Provider Information

NPI Number	:	1235159575
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAY CRAIG DDS

Provider Business Mailing Address
First Line	:	3900 WASHINGTON AVE
Second Line	:
City	:	EVANSVILLE
State	:	IN
Zip	:	47714-0550
Country	:	US
Telephone Number	:	812-485-7425
Fax Number	:	812-485-5810

Provider Business Practice Location Address
First Line	:	3900 WASHINGTON AVE
Second Line	:
City	:	EVANSVILLE
State	:	IN
Zip	:	47714-0550
Country	:	US
Telephone Number	:	812-485-7425
Fax Number	:	812-485-5810

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

Provider Enumeration Date	:	07/20/2006
Last Update Date	:	06/05/2024

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Directions to “ DR. JAY CRAIG DDS” Practice Location

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