DR. Roger D Craddock, D.D.S. is a periodontics dentist in Memphis, TN. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. DR. Roger D Craddock, D.D.S. NPI is 1114056694. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
6268 POPLAR AVE
MEMPHIS, TN
ZIP 38119-713
Phone: (901) 761-3770
Fax: (901) 761-3775
The NPI 1114056694 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).
The enumeration date for this NPI number is 3/2/2007 and was last updated on 7/8/2007.