CRAIG HERBERT FOUNTAIN DDS

CADILLAC ORAL SURGERY ASSOC

Dr CRAIG HERBERT FOUNTAIN DDS is a male medical professional, specializing in Oral Surgery. He graduated in 2001.

Contact

CADILLAC ORAL SURGERY ASSOC

855 S CARMEL ST
CADILLAC
MI
496012383

Tel: 2317751268

CRAIG HERBERT FOUNTAIN DDS Information

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

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