Provider Demographics
NPI:1295114213
Name:PEAK DENTAL ARTS CRAIG C. LANIK, DDS, INC.
Entity type:Organization
Organization Name:PEAK DENTAL ARTS CRAIG C. LANIK, DDS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:CRAIG
Authorized Official - Middle Name:
Authorized Official - Last Name:LANIK
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:330-595-0010
Mailing Address - Street 1:PO BOX 823
Mailing Address - Street 2:
Mailing Address - City:UNIONTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44685-0823
Mailing Address - Country:US
Mailing Address - Phone:330-595-0010
Mailing Address - Fax:330-699-1154
Practice Address - Street 1:12033 CLEVELAND AVE NW
Practice Address - Street 2:
Practice Address - City:UNIONTOWN
Practice Address - State:OH
Practice Address - Zip Code:44685-0823
Practice Address - Country:US
Practice Address - Phone:330-595-0010
Practice Address - Fax:330-699-1154
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-22
Last Update Date:2015-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH173711223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty