Dr. Jacob David Cragun
Endodontist
5858 W. Main St. Suite 290
Frisco
, Texas 75034
Dr. Jacob David Cragun
Endodontist
5858 W. Main St. Suite 290
Frisco
, Texas 75034
(310) 902-7822
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About
Features
Specialties
- Endodontist
Languages spoken
- English
Location
First Address
- Dr. Jacob David Cragun
- 5858 W. Main St. Suite 290
- Frisco, TX
- Zip : 75034
- Phone : (310) 902-7822
Second Address
- Dr. Jacob David Cragun
- 5858 W. Main St. Suite 290
- Frisco, TX
- Zip : 75034
- Phone : (310) 902-7822
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223E0200X | Endodontist | 25238 | TX |
| N | 1223E0200X | Endodontist | 679 | FL |
National Provider Identifier
| NPI | 1124282207 |
|---|---|
| Provider Name | Dr. Jacob David Cragun |
| First Address | Frisco, TX 75034 |
| Second Address | Frisco, TX 75034 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/07/2008 |
| Last Update Date | 07/09/2012 |
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.