Individual provider · Type 1 NPI
Kristianne Vidal Macaraeg Kracke, DMD
Pediatric Dentistry · Sicklerville, NJ
NPI number
1386164945
Active
Practice location
1304 Liberty Pl
Sicklerville, NJ 08081-5710
Mailing address
2404 Cherry St
Manasquan, NJ 08736-1523
Other practice locations
- 6801 Ridge Ave, Philadelphia, PA 19128 · (757) 214-1091
- 3401 Civic Center Blvd, Philadelphia, PA 19104 · (215) 898-6555
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist | 122300000X | DS041678 (PA) |
| Pediatric Dentistry | 1223P0221X | 22DI02749000 (NJ) |
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Pediatric Dentistry Primary | 1223P0221X | DS041678 (PA) |
Pediatric Dentistry: 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.
3 other providers at this address
Other pediatric dentistry providers in Sicklerville
- Emily Frances Eilerman Bills, DMDPediatric Dentistry Sicklerville, NJ NPI 1063689073
- Eunhee Crystal Choi, D.M.DPediatric Dentistry Sicklerville, NJ NPI 1639155989
- Jacklyn Michele Brown, DDSPediatric Dentistry Sicklerville, NJ NPI 1750622155
- Mary -Kay Annuzzi, DMDPediatric Dentistry Sicklerville, NJ NPI 1871622787
About NPI 1386164945
Kristianne Vidal Macaraeg Kracke, DMD's National Provider Identifier is 1386164945, issued on Jun 26, 2017. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Sicklerville, NJ. The record was last updated on Jan 30, 2023.