Provider Demographics
NPI:1063527620
Name:CRAFT, DEAN D (DDS)
Entity type:Individual
Prefix:
First Name:DEAN
Middle Name:D
Last Name:CRAFT
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:DR
Other - First Name:DEAN
Other - Middle Name:D
Other - Last Name:CRAFT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:900 E WALNUT ST
Mailing Address - Street 2:
Mailing Address - City:FRANKFORT
Mailing Address - State:IN
Mailing Address - Zip Code:46041
Mailing Address - Country:US
Mailing Address - Phone:765-654-8811
Mailing Address - Fax:465-654-0625
Practice Address - Street 1:900 E WALNUT ST
Practice Address - Street 2:
Practice Address - City:FRANKFORT
Practice Address - State:IN
Practice Address - Zip Code:46041
Practice Address - Country:US
Practice Address - Phone:765-654-8811
Practice Address - Fax:465-654-0625
Is Sole Proprietor?:No
Enumeration Date:2006-08-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN7225122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist