Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CRAIG MIRKIN, D.D.S.
ActiveDental Public Health · PORT HURON, MI
Registration Details
- NPI Number
- 1003983677
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 29, 2006 (19.393686253237 yrs)
- Last Updated
- Jul 8, 2007
- License
-
2901011180 (MI)
Practice Information
- Address
-
3415 28TH STPORT HURON, MI, 480606931Browse MI providers · Browse ZIP 48060
- Phone
- 8109845197
- Fax
- 8109852150
- Primary Specialty
-
Dental Public Health
1223D0001X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.