Provider Demographics
NPI:1447339668
Name:ELINOR, CRAIG GERARD (DMD)
Entity type:Individual
Prefix:
First Name:CRAIG
Middle Name:GERARD
Last Name:ELINOR
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3466 BRIDGELAND DR
Mailing Address - Street 2:SUITE 245
Mailing Address - City:BRIDGETON
Mailing Address - State:MO
Mailing Address - Zip Code:63044
Mailing Address - Country:US
Mailing Address - Phone:314-739-8944
Mailing Address - Fax:314-739-8969
Practice Address - Street 1:3466 BRIDGELAND DR
Practice Address - Street 2:SUITE 245
Practice Address - City:BRIDGETON
Practice Address - State:MO
Practice Address - Zip Code:63044
Practice Address - Country:US
Practice Address - Phone:314-739-8944
Practice Address - Fax:314-739-8969
Is Sole Proprietor?:No
Enumeration Date:2006-11-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MODE-015690122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist