MEDICARE: DR. CRAIG NORBERT ADELMANN 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	1223G0001X	General Practice Dentistry	10008	MN

General Provider Information

NPI Number	:	1598753873
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CRAIG NORBERT ADELMANN DDS

Provider Business Mailing Address
First Line	:	14247 OCONNELL CT
Second Line	:	#100
City	:	SAVAGE
State	:	MN
Zip	:	55378-2878
Country	:	US
Telephone Number	:	952-226-3560
Fax Number	:	952-226-3562

Provider Business Practice Location Address
First Line	:	14247 OCONNELL CT
Second Line	:	#100
City	:	SAVAGE
State	:	MN
Zip	:	55378-2878
Country	:	US
Telephone Number	:	952-226-3560
Fax Number	:	952-226-3562

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

Provider Enumeration Date	:	10/11/2005
Last Update Date	:	12/02/2015

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