NPI 1013984541

Craig James Thatcher

Practitioner Oral & Maxillofacial Surgery (D.M.D.) Moline, IL

Practice location

Address: 930 16th Ave, Moline, IL 61265
Phone: (309) 797-1720
Fax: (309) 797-1720

Registered specialties

Oral & Maxillofacial Surgery (D.M.D.) Primary

Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence 19024622 (IL)

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Registry record

NPI: 1013984541
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Mar 2006
Record last updated: 13 Jul 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.