Provider Demographics
NPI:1861108045
Name:CRAIG, SAVANAH (DDS)
Entity type:Individual
Prefix:
First Name:SAVANAH
Middle Name:
Last Name:CRAIG
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 1:819 IRWIN PARK CIR
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29201-6514
Mailing Address - Country:US
Mailing Address - Phone:724-822-5608
Mailing Address - Fax:
Practice Address - Street 1:33 AUDUBON LN
Practice Address - Street 2:
Practice Address - City:POLAND
Practice Address - State:OH
Practice Address - Zip Code:44514-1923
Practice Address - Country:US
Practice Address - Phone:724-822-5608
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-30
Last Update Date:2023-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30.0270491223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice