Provider Demographics
NPI:1871793596
Name:KRAFT, VICKI BARNHOUSE (DDS)
Entity type:Individual
Prefix:DR
First Name:VICKI
Middle Name:BARNHOUSE
Last Name:KRAFT
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4312 WAYBOURN RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43220-4376
Mailing Address - Country:US
Mailing Address - Phone:614-457-5744
Mailing Address - Fax:
Practice Address - Street 1:5025 ARLINGTON CENTRE BLVD
Practice Address - Street 2:SUITE 220
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43220-2959
Practice Address - Country:US
Practice Address - Phone:614-457-1481
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-20
Last Update Date:2007-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH161341223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice