Jennifer Louise Crandall in Tarzana - Dentist
Jennifer Louise Crandall - NPI 1679761662
Jennifer Louise Crandall is a Dentist in Tarzana, California. Jennifer Louise Crandall practices all healthcare services and medical treatments related to Dentist. The NPI Number for Jennifer Louise Crandall is 1679761662. The last update date is 2007-10-04.
Jennifer Louise Crandall's current location address is 18740 Ventura Blvd, Tarzana, California. You can contact this provider via phone number 8186091777 and fax number 8186099352. The mailing address for Jennifer Louise Crandall is 18740 Ventura Blvd, Tarzana, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jennifer Louise Crandall |
|---|---|
| Address | 18740 Ventura Blvd, Tarzana, California |
| Phone Number | 8186091777 |
| Fax Number | 8186099352 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1679761662 |
|---|---|
| Provider Enumeration Date | 2007-10-04 |
| Last Updated Date | 2007-10-04 |
Provider Mailing Address Detail
| Address | 18740 Ventura Blvd |
|---|---|
| City | Tarzana |
| State | California (CA) |
| Post Code | 913563366 |
| Phone Number | 8186091777 |
| Fax Number | 8186099352 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 30778 |
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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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What is the unique 10-digit identifier code issued to Jennifer Louise Crandall by the Centers for Medicare & Medicaid Services?
The Jennifer Louise Crandall has been assigned the NPI (National Provider Identifier) 1679761662 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete address where Jennifer Louise Crandall is physically located?
The Jennifer Louise Crandall is situated at the following address: 18740 Ventura Blvd, Tarzana, CA 913563366.
What is Jennifer Louise Crandall's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Jennifer Louise Crandall is Dentist, and the taxonomy code that classifies this field of practice is 122300000X.
On what date did Jennifer Louise Crandall receive its 1679761662 assignment from the Centers for Medicare & Medicaid Services?
The Jennifer Louise Crandall was assigned its 1679761662 on 2007-10-04, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Jennifer Louise Crandall, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jennifer Louise Crandall, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-10-04.