DR. KRISTIANNE VIDAL MACARAEG KRACKE DMD NPI 1386164945

NPI Information

NPI: 1386164945
Provider Name: DR. KRISTIANNE VIDAL MACARAEG KRACKE, DMD
Classification: Dentist - 1223P0221X
Entity Type: Individual

Specialization: Pediatric Dentistry

Address:
1304 LIBERTY PL
SICKLERVILLE, NJ
ZIP 08081
Phone: (856) 875-9550
Get Directions

DR. Kristianne Vidal Macaraeg Kracke, DMD is a pediatric dentistry dentist in Sicklerville, NJ. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. DR. Kristianne Vidal Macaraeg Kracke, DMD NPI is 1386164945. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1304 LIBERTY PL
SICKLERVILLE, NJ
ZIP 08081-710
Phone: (856) 875-9550

The enumeration date for this NPI number is 6/26/2017 and was last updated on 3/22/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	122300000X	Dentist		DS041678	PENNSYLVANIA	No
2	1223P0221X	Dentist	Pediatric Dentistry	DS041678	PENNSYLVANIA	Yes
3	1223P0221X	Dentist	Pediatric Dentistry	22DI02749000	NEW JERSEY	No
4	390200000X	Student in an Organized Health Care Education/Training Program				No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

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