Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ROGER D CRADDOCK, D.D.S.
ActiveDR. ROGER D CRADDOCK, D.D.S. is a Periodontology healthcare provider located in MEMPHIS, Tennessee. NPI 1114056694 is currently active in the NPPES registry. Verify at CMS.
Periodontology · MEMPHIS, TN
Registration Details
- NPI Number
- 1114056694
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 2, 2007 (19.479035805203 yrs)
- Last Updated
- Jul 8, 2007
- License
-
6912 (TN)
Practice Information
- Address
-
6268 POPLAR AVEMEMPHIS, TN, 381194713Browse TN providers · Browse ZIP 38119
- Phone
- 9017613770
- Fax
- 9017613775
- Primary Specialty
-
Periodontology
1223P0300X
Other Periodontology Providers in MEMPHIS, TN
| Name | Credential | NPI |
|---|---|---|
| DR. JOHN STEPHEN WEIR | D.D.S. | 1760489496 |
| DR. JEFFREY LYNN WINGO | DDS | 1275552176 |
| SYDNEY H STEIN | DDS | 1235242413 |
| DR. JOHN STURDIVANT WINFORD III | DDS | 1740390020 |
| DR. HIRAM RAYMOND FRY | D.D.S. | 1932211349 |
| DR. EDWARD SIDNEY LANE II | D.D.S. | 1467522474 |
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.