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Craig Mirkin

Dental Public Health

3415 28th St
Port Huron , Michigan 48060-6931

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Craig Mirkin

Dental Public Health

3415 28th St
Port Huron , Michigan 48060-6931

(810) 985-2150

Write a Review Save Call

Craig Mirkin

Dental Public Health

3415 28th St
Port Huron , Michigan 48060-6931

(810) 985-2150 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Dental Public Health

Languages spoken

  • English

Location

3415 28th St Port Huron , Michigan 48060-6931

First Address

  • Craig Mirkin
  • 3415 28th St
  • Port Huron, MI
  • Zip : 48060-6931
  • Fax : (810) 985-2150
  • Phone : (810) 984-5197

Second Address

  • Craig Mirkin
  • 3415 28th St
  • Port Huron, MI
  • Zip : 48060-6931
  • Fax : (810) 985-2150
  • Phone : (810) 984-5197

Reviews

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FAQs


Where did Craig Mirkin attend graduate school?

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Where did Craig Mirkin do his residency?

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Where did Craig Mirkin do his fellowship?

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Is Craig Mirkin board certified?

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What type of doctor is Craig Mirkin

Dental Public Health

In what state does Craig Mirkin practice in?

Michigan

Where is Craig Mirkin ’s practice located?

3415 28th St , Port Huron, Michigan, 48060-6931

What is Craig Mirkin ’s gender?

Male

Is Craig Mirkin a sole practitioner?

No

Is Craig Mirkin accepting new patients?

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What languages does Craig Mirkin speak?

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Does Craig Mirkin accept insurance?

Yes, Craig Mirkin accepts insurance

Does Craig Mirkin offers telemedicine?

Craig Mirkin has not indicated if he offers telemedicine

What is Craig Mirkin ’s professional license number?

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What is Craig Mirkin ’s NPI number?

1003983677

Does Craig Mirkin have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 1223D0001X Dental Public Health 2901011180 MI

National Provider Identifier

NPI 1003983677
Provider Name Craig Mirkin
First Address Port Huron, MI 48060-6931
Second Address Port Huron, MI 48060-6931
Gender M
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 29/11/2006
Last Update Date 08/07/2007

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
4046170 (05) MI

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
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?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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