Thane Evans Crump Dds Pc in Watertown - Endodontics

Thane Evans Crump Dds Pc - NPI 1831391499

Thane Evans Crump Dds Pc is a Endodontics in Watertown, South Dakota. Thane Evans Crump Dds Pc practices all healthcare services and medical treatments related to Endodontics. The NPI Number for Thane Evans Crump Dds Pc is 1831391499. The last update date is 2020-08-22.

Thane Evans Crump Dds Pc's current location address is 600 4th St Ne, Watertown, South Dakota. You can contact this provider via phone number 6057536824. The mailing address for Thane Evans Crump Dds Pc is 600 4th St Ne, Watertown, South Dakota. To know further, please read the information below!

Provider Profile Detail

Provider Organization Thane Evans Crump Dds Pc
Address 600 4th St Ne, Watertown, South Dakota
Phone Number 6057536824
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position DENTIST, O
Authorized Official Name Crump Thane
Credentials DDS
Telephone Number 6057536824

NPI Number Detail

NPI Number 1831391499
Provider Enumeration Date 2007-06-04
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 600 4th St Ne
City Watertown
State South Dakota (SD)
Post Code 572011898
Phone Number 6057536824
Fax Number

Provider's Primary Taxonomy Detail

Speciality Endodontics
Taxonomy 1223E0200X
Licence No M 750
Definition:
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the eti

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FAQs about Thane Evans Crump Dds Pc

What is the Thane Evans Crump Dds Pc's unique identification number?

The Thane Evans Crump Dds Pc has been assigned the NPI (National Provider Identifier) Number 1831391499 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Where is the Thane Evans Crump Dds Pc located?

The Thane Evans Crump Dds Pc is located at 600 4Th St Ne, Watertown, SD 572011898.

What is Thane Evans Crump Dds Pc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Thane Evans Crump Dds Pc is Endodontics, and the taxonomy classification code that categorizes this area of expertise is 1223E0200X.

On what date did the Thane Evans Crump Dds Pc receive the assignment of its 1831391499 from the Centers for Medicare & Medicaid Services?

The Thane Evans Crump Dds Pc was issued its 1831391499 by the Centers for Medicare & Medicaid Services on 2007-06-04.

As of what date was the information pertaining to Thane Evans Crump Dds Pc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Thane Evans Crump Dds Pc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-08-22.

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