Jeffrey Allen Crandall in Underhill - Oral And Maxillofacial Pathology
Jeffrey Allen Crandall - NPI 1790711414
Jeffrey Allen Crandall is a Oral And Maxillofacial Pathology in Underhill, Vermont. Jeffrey Allen Crandall practices all healthcare services and medical treatments related to Oral And Maxillofacial Pathology. The NPI Number for Jeffrey Allen Crandall is 1790711414. The last update date is 2007-07-08.
Jeffrey Allen Crandall's current location address is 74 Maple Rdg Rd, Underhill, Vermont. You can contact this provider via phone number 8028992022 and fax number 8026588036. The mailing address for Jeffrey Allen Crandall is 74 Maple Rdg Rd, Underhill, Vermont. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeffrey Allen Crandall |
|---|---|
| Address | 74 Maple Rdg Rd, Underhill, Vermont |
| Phone Number | 8028992022 |
| Fax Number | 8026588036 |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1790711414 |
|---|---|
| Provider Enumeration Date | 2006-06-24 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 74 Maple Rdg Rd |
|---|---|
| City | Underhill |
| State | Vermont (VT) |
| Post Code | 54899227 |
| Phone Number | 8028992022 |
| Fax Number | 8026588036 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Pathology |
|---|---|
| Taxonomy | 1223P0106X |
| Licence No | 615 |
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Definition: The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1847 | VT | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Jeffrey Allen Crandall by the Centers for Medicare & Medicaid Services (CMS)?
The Jeffrey Allen Crandall has been assigned the NPI (National Provider Identifier) 1790711414. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where Jeffrey Allen Crandall is physically located?
The Jeffrey Allen Crandall is situated at the following address: 74 Maple Rdg Rd, Underhill, VT 54899227.
What is the Jeffrey Allen Crandall's specialty and taxonomy code?
The Jeffrey Allen Crandall's specialty is Oral And Maxillofacial Pathology, and the corresponding taxonomy code is 1223P0106X.
When was the Jeffrey Allen Crandall's 1790711414 issued?
The Jeffrey Allen Crandall's 1790711414 was issued on 2006-06-24.
As of what date were the details related to Jeffrey Allen Crandall most recently updated or revised?
The information pertaining to Jeffrey Allen Crandall, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.