Dr. Craig Testerman, DDS
Dentist, Dental Public Health in Edgewood, NM. Individual provider (NPI-1).
NPI number1194383752
StatusActive
Last updated in NPPESOct 3, 2020
Details
- NPI
- 1194383752
- Entity type
- Individual (NPI-1)
- Name
- Dr. Craig Testerman
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 30, 2019
- Certification date
- Oct 3, 2020
- Last updated
- Oct 3, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223D0001X | Dentist, Dental Public Health | DD5101 | NM | Yes |
| 122300000X | Dentist | DD5101 | NM |
Other names
- Craig Testerman (Professional Name)
Practice location
7 Municipal WayEdgewood, NM 87015-7086
Phone 505-281-3406 · Fax 505-224-8737
Mailing address
Po Box 2980Edgewood, NM 87015-2980
Phone 505-281-3406 · Fax 505-224-8737
Other practice locations
3715 Las Estancias Ct Sw Ste 101
Albuquerque, NM 87121-5506
Albuquerque, NM 87121-5506
Phone 505-873-1819
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