Active NPIIndividual provider

Dr. Jeffrey A Crandall, DDS

Dentist, Oral and Maxillofacial Pathology in South Burlington, Vermont

NPI Number1790711414
Practice location
40 Timber Ln, South Burlington, VT 05403-7204
Fax
802-658-8036
Last updated
July 8, 2007

Jeffrey Allen Crandall is a Dentist, Oral and Maxillofacial Pathology based in South Burlington, VT. Jeffrey Allen Crandall practices in South Burlington, VT and has the professional credentials of DDS. The NPI Number for Jeffrey Allen Crandall is 1790711414 and holds a License No. 615 (VT). The current practice location address for Jeffrey Allen Crandall is 40 Timber Ln, South Burlington, VT 05403-7204 and can be reached out via phone at 802-862-7185 and via fax at 802-658-8036.

Provider Profile Details

NPI Number
1790711414
Provider Name
Jeffrey Allen Crandall
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
40 Timber Ln, South Burlington, VT 05403-7204
Phone Number
802-862-7185
Fax Number
802-658-8036
Primary Taxonomy
Dentist, Oral and Maxillofacial Pathology · 1223P0106X
Sole Proprietor
No
Provider Enumeration Date
June 24, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
40 Timber Ln
South Burlington, VT 05403-7204
State
Vermont
Zip
05403-7204
Phone Number
802-862-7185
Fax Number
802-658-8036
South Burlington, VT 05403Get directions →

Provider Business Mailing Address Details

Address
74 Maple Rdg RD
Underhill, VT 05489-9227
City
Underhill
State
VT
Zip
05489-9227
Phone Number
802-899-2022
Fax Number
802-658-8036

License Information

License Number
615
License State
VT
Taxonomy
Dentist, Oral and Maxillofacial Pathology · 1223P0106X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Dentist, Oral and Maxillofacial Pathology providers near South Burlington, VT

View all Dentist, Oral and Maxillofacial Pathology providers in South Burlington →

Frequently Asked Questions

What is the NPI number of Dr. Jeffrey A Crandall, DDS?

The NPI number of Dr. Jeffrey A Crandall, DDS is 1790711414. It was assigned on June 24, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Jeffrey A Crandall, DDS?

Dr. Jeffrey A Crandall, DDS is registered under the primary taxonomy Dentist, Oral and Maxillofacial Pathology (code 1223P0106X), licensed in VT under license number 615.

Where does Dr. Jeffrey A Crandall, DDS practice?

The practice location is 40 Timber Ln, South Burlington, VT 05403-7204. The office can be reached at 802-862-7185 (phone) or 802-658-8036 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1790711414 directly on the NPPES registry website.

Browse related providers