Dr CRAIG HERBERT FOUNTAIN DDS is a male medical professional, specializing in Oral Surgery. He graduated in 2001.
CADILLAC ORAL SURGERY ASSOC
855 S CARMEL ST
CADILLAC
MI
496012383
Tel: 2317751268
Npi | 1992759625 |
Pac Id | 7113956087 |
Professional Enrollment Id | I20050810001117 |
Last Name | FOUNTAIN |
First Name | CRAIG |
Middle Name | HERBERT |
Suffix | |
Gender | M |
Credential | DDS |
Medical School Name | OTHER |
Graduation Year | 2001 |
Primary Specialty | ORAL SURGERY |
Secondary Specialty 1 | MAXILLOFACIAL SURGERY |
Secondary Specialty 2 | |
Secondary Specialty 3 | |
Secondary Specialty 4 | |
All Secondary Specialties | MAXILLOFACIAL SURGERY |
Organization Legal Name | CADILLAC ORAL SURGERY ASSOC |
Group Practice Pac Id | 6204865538 |
Number Of Group Practice Members | 3 |
Line 1 Street Address | 855 S CARMEL ST |
Line 2 Street Address | |
Marker Of Address Line 2 Suppression | |
City | CADILLAC |
State | MI |
Zip Code | 496012383 |
Phone Number | 2317751268 |
Hospital Affiliation Ccn 1 | 230097 |
Hospital Affiliation Lbn 1 | MUNSON MEDICAL CENTER |
Hospital Affiliation Ccn 2 | |
Hospital Affiliation Lbn 2 | |
Hospital Affiliation Ccn 3 | |
Hospital Affiliation Lbn 3 | |
Hospital Affiliation Ccn 4 | |
Hospital Affiliation Lbn 4 | |
Hospital Affiliation Ccn 5 | |
Hospital Affiliation Lbn 5 | |
Professional Accepts Medicare Assignment | Y |
Leave your comments, questions and feedback on this listing below. You can also correct any listing errors or omissions.