National Provider Identifier

Joseph Allan Craddock, D.D.S.

Joseph Allan Craddock, D.D.S. is listed in the NPPES registry with a primary specialty of General Practice Dentistry in Attica, NY and a listed phone number of (585) 591-1404.

NPI 1275629875Attica, NYGeneral Practice Dentistry

Profile Overview

NPI
1275629875
Provider Type
Individual
Primary Specialty
General Practice Dentistry
Enumeration Date
October 04, 2006
Last Updated
August 15, 2022

Practice Location

  • 3325 E Main Street RD
  • Attica, NY 14011

Phone: (585) 591-1404

Mailing Address

  • 3325 E. Main Street
  • Attica, NY 14011

Specialties

  • General Practice Dentistry (1223G0001X)
Full Record
NPI
1275629875
Entity Type
Individual
Last Name
Craddock
First Name
Joseph
Middle Name
Allan
Name Prefix
Dr.
Credential
D.D.S.
Mailing Street Address
3325 E. Main Street
Mailing City
Attica
Mailing State
NY
Mailing ZIP Code
14011
Mailing Country
US
Mailing Phone
(585) 591-3509
Mailing Fax
(585) 591-2614
Practice Street Address
3325 E Main Street RD
Practice City
Attica
Practice State
NY
Practice ZIP Code
14011
Practice Country
US
Practice Phone
(585) 591-1404
Practice Fax
(585) 591-2614
Enumeration Date
October 04, 2006
Last Updated
August 15, 2022
Sex
Male
Sole Proprietor
Yes
Certification Date
August 15, 2022
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
General Practice Dentistry (1223G0001X)