IndividualActive
Michael Craddock, DDS
NPI 1871541276 · Prosthodontics · Kirtland Afb, NM
Provider details
- NPI number
- 1871541276
- Entity type
- Individual
- Primary specialty
- ProsthodonticsDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- DD5009 (NM)
Specialties & taxonomies
Dental Providers
Dental Providers
Dental Providers
Dental Providers
Dental Providers
Practice location
2050a 2nd St Se
Kirtland Afb, NM 87117-5901
Phone: (505) 846-3200
Approximate (ZIP-level) locationGet directions
Mailing address
2050a 2nd St Se
Kirtland Afb, NM 87117-1823
Registry dates
- Enumerated
- 2006-05-05
- Last updated
- 2021-04-14
- Certified
- 2021-03-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.