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Craig Fountain, DDS

NPI 1992759625 · on the registry since 2006

Practice

Address: 12776 S West Bay Shore Dr
Traverse City, MI 49684
Phone: (231) 946-3512
Fax: (231) 946-1908
Organisation at this address: Grand Traverse Oral Surgery, P.C.
Northway And Hall Orthodontics Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 7

Registry record

Primary taxonomy: Oral and Maxillofacial Surgery (Dentist)
1223S0112X
Licence states on file: MI
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-12-27

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan