Provider Demographics
NPI:1174515498
Name:TIGCHELAAR, DONALD CRAIG (DDS)
Entity type:Individual
Prefix:DR
First Name:DONALD
Middle Name:CRAIG
Last Name:TIGCHELAAR
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:721 FOREST STREET
Mailing Address - Street 2:
Mailing Address - City:WINDERMERE
Mailing Address - State:FL
Mailing Address - Zip Code:34786
Mailing Address - Country:US
Mailing Address - Phone:407-473-5529
Mailing Address - Fax:765-828-1337
Practice Address - Street 1:8900 SE 165TH MULBERRY LANE
Practice Address - Street 2:
Practice Address - City:THE VILLAGES
Practice Address - State:FL
Practice Address - Zip Code:32162
Practice Address - Country:US
Practice Address - Phone:352-674-5000
Practice Address - Fax:352-384-8305
Is Sole Proprietor?:No
Enumeration Date:2005-08-22
Last Update Date:2025-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN0013899122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist