Thane Crump in Watertown - Pediatric Dentistry

Thane Crump - NPI 1710195896

Thane Crump is a Pediatric Dentistry in Watertown, South Dakota. Thane Crump practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Thane Crump is 1710195896. The last update date is 2007-07-08.

Thane Crump's current location address is 600 4th St Ne, Watertown, South Dakota. You can contact this provider via phone number 6057535437. The mailing address for Thane Crump is 600 4th St Ne, Watertown, South Dakota. To know further, please read the information below!

Provider Profile Detail

Provider Name Thane Crump
Address 600 4th St Ne, Watertown, South Dakota
Phone Number 6057535437
Fax Number
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1710195896
Provider Enumeration Date 2007-05-20
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 600 4th St Ne
City Watertown
State South Dakota (SD)
Post Code 572011898
Phone Number 6057535437
Fax Number

Provider's Primary Taxonomy Detail

Speciality Pediatric Dentistry
Taxonomy 1223P0221X
Licence No M 750
Definition:
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

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FAQs about Thane Crump

What is the unique identification code assigned to Thane Crump by the Centers for Medicare & Medicaid Services?

The Thane Crump has been issued the NPI (National Provider Identifier) 1710195896. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Thane Crump is geographically located?

The Thane Crump is physically situated at the following location: 600 4Th St Ne, Watertown, SD, 572011898.

What is Thane Crump's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Thane Crump is Pediatric Dentistry, and the taxonomy code that categorizes this field of expertise is 1223P0221X.

On what date did the Thane Crump receive the assignment of its 1710195896 from the Centers for Medicare & Medicaid Services?

The Thane Crump was issued its 1710195896 by the Centers for Medicare & Medicaid Services on 2007-05-20.

When was the Thane Crump's information last updated?

The Thane Crump's information was last updated on 2007-07-08.

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