IndividualActive
Craig Fountain, DDS
NPI 1992759625 · Oral and Maxillofacial Surgery (Dentist) · Traverse City, MI
Provider details
- NPI number
- 1992759625
- Entity type
- Individual
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- 2901018208 (MI)
Specialties & taxonomies
Dental Providers
Practice location
12776 S West Bay Shore Dr
Traverse City, MI 49684-5451
Phone: (231) 946-3512
Fax: (231) 946-1908
Approximate (ZIP-level) locationGet directions
Mailing address
1010 Cass St
Traverse City, MI 49684-3234
Registry dates
- Enumerated
- 2006-05-19
- Last updated
- 2007-12-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.