Organization
JAMES J. CRUMBAKER, DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES J CRUMBAKER (DENTIST)
(802) 476-7162
Entity
Organization
Contact information
Practice address
85 WASHINGTON ST, SUITE 1, BARRE, VT 05641-4297
(802) 476-7162
(802) 476-7120
Mailing address
85 WASHINGTON ST, SUITE 1, BARRE, VT 05641-4297
(802) 476-7162
(802) 476-7120
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
016-0002029
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1006389
—
VT
Enumeration date
05/30/2007
Last updated
08/22/2020
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