MACKENZIE CRAIK DDS NPI 1558626929

NPI Information

NPI: 1558626929
Provider Name: MACKENZIE CRAIK, DDS
Classification: Dentist - 1223P0221X
Entity Type: Individual

Specialization: Pediatric Dentistry

Address:
1243 AUGUSTA WEST PKWY
AUGUSTA, GA
ZIP 30909
Phone: (706) 855-8989
Get Directions

Mackenzie Craik, DDS is a pediatric dentistry dentist in Augusta, GA. 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. Mackenzie Craik, DDS NPI is 1558626929. 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:

1243 AUGUSTA WEST PKWY
AUGUSTA, GA
ZIP 30909-807
Phone: (706) 855-8989

The enumeration date for this NPI number is 7/11/2012 and was last updated on 1/7/2021.

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	1223P0221X	Dentist	Pediatric Dentistry	DN015981	GEORGIA	Yes
2	1223P0221X	Dentist	Pediatric Dentistry	D10030	OREGON	No
3	1223P0221X	Dentist	Pediatric Dentistry	DE60459114	WASHINGTON	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	LD00078	OTHER	RHODE ISLAND	LICENSE NUMBER

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: 4/28/2024

NPI Synchronization or Removal

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