James Berrett Crandall in La Mesa - Dentist
James Berrett Crandall - NPI 1104024660
James Berrett Crandall is a Dentist in La Mesa, California. James Berrett Crandall practices all healthcare services and medical treatments related to Dentist. The NPI Number for James Berrett Crandall is 1104024660. The last update date is 2007-07-08.
James Berrett Crandall's current location address is 7484 University Avenue, La Mesa, California. You can contact this provider via phone number 6194602500 and fax number 6194623169. The mailing address for James Berrett Crandall is 7484 University Avenue, La Mesa, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | James Berrett Crandall |
|---|---|
| Address | 7484 University Avenue, La Mesa, California |
| Phone Number | 6194602500 |
| Fax Number | 6194623169 |
| Sole Proprietor | N |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1104024660 |
|---|---|
| Provider Enumeration Date | 2007-07-06 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 7484 University Avenue |
|---|---|
| City | La Mesa |
| State | California (CA) |
| Post Code | 919416084 |
| Phone Number | 6194602500 |
| Fax Number | 6194623169 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 24760 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| B2476001 | CA | -- |
Post Comment/ Review Below
What is the James Berrett Crandall's unique identification number?
The James Berrett Crandall has been assigned the NPI (National Provider Identifier) Number 1104024660 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete address where James Berrett Crandall is physically located?
The James Berrett Crandall is situated at the following address: 7484 University Avenue, La Mesa, CA 919416084.
What is James Berrett Crandall's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for James Berrett Crandall is Dentist, and the corresponding taxonomy classification code for this specialized field is 122300000X.
On what date did the James Berrett Crandall receive the assignment of its 1104024660 from the Centers for Medicare & Medicaid Services?
The James Berrett Crandall was issued its 1104024660 by the Centers for Medicare & Medicaid Services on 2007-07-06.
When was the information regarding James Berrett Crandall, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to James Berrett Crandall, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.
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