Provider Demographics
NPI:1205972734
Name:KRAWITZ, JOHN (DDS)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:
Last Name:KRAWITZ
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5813 W MAPLE RD
Mailing Address - Street 2:SUITE 145
Mailing Address - City:WEST BLOOMFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48322-4400
Mailing Address - Country:US
Mailing Address - Phone:248-626-7100
Mailing Address - Fax:248-626-6358
Practice Address - Street 1:5813 W MAPLE RD
Practice Address - Street 2:SUITE 145
Practice Address - City:WEST BLOOMFIELD
Practice Address - State:MI
Practice Address - Zip Code:48322-4400
Practice Address - Country:US
Practice Address - Phone:248-626-7100
Practice Address - Fax:248-626-6358
Is Sole Proprietor?:No
Enumeration Date:2007-01-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI29010131671223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice