IndividualActive
Craig Thatcher
NPI 1013984541 · Oral & Maxillofacial Surgery (D.M.D.) · Moline, IL
Provider details
- NPI number
- 1013984541
- Entity type
- Individual
- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)Allopathic & Osteopathic Physicians
- Sex
- Male
- License
- 19024622 (IL)
Practice location
930 16th Ave
Moline, IL 61265
Phone: (309) 797-1720
Fax: (309) 797-1720
Mailing address
930 16th Ave
Moline, IL 61265
Registry dates
- Enumerated
- 2006-03-03
- Last updated
- 2020-09-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.