Craig James Thatcher
Oral & Maxillofacial Surgeon
930 16th Ave
Moline
, Illinois 61265
Craig James Thatcher
Oral & Maxillofacial Surgeon
930 16th Ave
Moline
, Illinois 61265
(309) 797-1791
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About
Features
Specialties
- Oral & Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Craig James Thatcher
- 930 16th Ave
- Moline, IL
- Zip : 61265
- Fax : (309) 797-1791
- Phone : (309) 797-1770
Second Address
- Craig James Thatcher
- 930 16th Ave
- Moline, IL
- Zip : 61265
- Fax : (309) 797-1720
- Phone : (309) 797-1720
Reviews
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 204E00000X | Oral & Maxillofacial Surgeon | 19024622 | IL |
National Provider Identifier
| NPI | 1013984541 |
|---|---|
| Provider Name | Craig James Thatcher |
| First Address | Moline, IL 61265 |
| Second Address | Moline, IL 61265 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/03/2006 |
| Last Update Date | 24/09/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| U73621 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.