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CRAIG H FOUNTAIN DDS
NPI 1992759625
Dentist - Oral and Maxillofacial Surgery in Traverse City, MI

Active since May 19, 2006PECOS Enrolled
12776 S WEST BAY SHORE DR, TRAVERSE CITY, MI 49684(231) 946-3512(231) 946-1908 Get Directions Write a Review

NPPES record last updated: December 27, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Craig H Fountain Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CRAIG H FOUNTAIN DDS (NPI 1992759625) is an individual oral and maxillofacial surgery provider in Traverse City, Michigan, licensed in Michigan (2901018208) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1992759625
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameCRAIG H FOUNTAINCredential: DDS
Location Address12776 S WEST BAY SHORE DRTraverse City, MI 49684-5451
Mailing Address1010 Cass StTraverse City, MI 49684-3234 · (231) 392-5810 · Fax (231) 946-1908
Phone(231) 946-3512
Fax(231) 946-1908
Sole ProprietorNo
Enumeration DateMay 19, 2006
Last NPPES UpdateDecember 27, 2007
✔ NPI 1992759625 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in MI · 2901018208
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
12776 S WEST BAY SHORE DR, Traverse City, MI 49684
Open in Google Maps ↗

Other Identifiers 5

Other1003095605MI · Npi Group #
Medicare UPINV05865MI
Medicaid4756423MI
Medicare ID-Type Unspecified0P21110MI · Group Id
Medicaid4756432MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Delta Dental of Michigan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Craig H Fountain Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49684 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GRAND TRAVERSE ORAL SURGERY, P.C.
Dentist (Oral and Maxillofacial Surgery)
12776 S WEST BAY SHORE DR
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 946-3512
NORTHWAY AND HALL ORTHODONTICS PLLC
Dentist (Orthodontics and Dentofacial Orthopedics)
12776 S WEST BAY SHORE DR
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 946-0070
DR. JASON F HALL D.D.S.,M.S.
Dentist (Orthodontics and Dentofacial Orthopedics)
12776 S WEST BAY SHORE DR
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 946-0070
WAYNE L. OLSEN DDS
Dentist (Oral and Maxillofacial Surgery)
12776 S WEST BAY SHORE DR
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 946-3512
DR. BRUCE CARTER LEE D.D.S.
Dentist (General Practice)
12776 S WEST BAY SHORE DR
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 929-0522
DR. WILLIAM M NORTHWAY D.D.S.,M.S.
Dentist (Orthodontics and Dentofacial Orthopedics)
12776 S WEST BAY SHORE DR
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 946-0070
DR. DANIEL MADION DDS, MD
Dentist (Oral and Maxillofacial Surgery)
12776 S WEST BAY SHORE DR
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 946-3512
DAVID W. HOWARD DDS
Dentist (Oral and Maxillofacial Surgery)
12776 S WEST BAY SHORE DR
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 946-3512

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Craig Fountain's NPI number?

The NPI number for Craig Fountain is 1992759625. It was assigned to this individual provider in the NPPES registry on May 19, 2006.

Where is Craig Fountain located?

Craig Fountain practices at 12776 S West Bay Shore Dr, Traverse City, MI 49684. The listed phone number is (231) 946-3512.

What is Craig Fountain's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Craig Fountain enrolled in Medicare?

Yes. Craig Fountain is registered in the Medicare PECOS enrollment system.

What insurance does Craig Fountain accept?

Health plans from Delta Dental of Michigan list Craig Fountain as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Craig Fountain was last updated on December 27, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.