Individual
DR. JAMES D CRINE II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4550 EUBANK NE STE #103, ALBUQUERQUE, NM 87111
(505) 291-9600
(505) 299-5280
Mailing address
4550 EUBANK NE STE #103, ALBUQUERQUE, NM 87111
(505) 291-9600
(505) 299-5280
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
1397
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5771071
AETNA
—
01
—
619420
UNITED CONCORDIA
—
01
—
8600
BLUE CROSS BLUE SHIELD
—
05
—
86025
—
NM
Enumeration date
05/02/2006
Last updated
07/08/2007
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