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Contact Information

CRAIG DEAGLE, DMD
7900 EL CAJON BLVD
LA MESA, CA91942-0607
 Phone: 617-834-4943
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for CRAIG DEAGLE · (Male)

NPI Number 1356500110
Status Active
Credentials DMD (Doctor of Medical Dentistry)
Entity Individual
Enumeration date 06/06/2008
Last updated 05/05/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • CA License # 63280
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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