Individual provider · Type 1 NPI

Michael Raymond Craddock, DDS

Prosthodontics · Kirtland Afb, NM

NPI number 1871541276 Active

Practice location

2050A 2nd St SE
Kirtland Afb, NM 87117-5901

Call (505) 846-3200 Map

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000XDD5009 (NM)
General Practice Dentistry 1223G0001X14481 (TX)
Prosthodontics 1223P0700X14481 (TX)
Prosthodontics Primary 1223P0700XDEN.00009325 (CO)
Dentist 122300000XDEN.00009325 (CO)

Prosthodontics: That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.

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About NPI 1871541276

Michael Raymond Craddock, DDS's National Provider Identifier is 1871541276, issued on May 5, 2006. The primary taxonomy on file is Prosthodontics (1223P0700X), and the practice location is in Kirtland Afb, NM. The record was last updated on Apr 14, 2021.