Individual
DR. BRENT JOHNSON CRUMPTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D., M.S.
Contact information
Practice address
210 E MAIN ST, STE 2E, TUPELO, MS 38804-4031
(662) 823-3636
(662) 823-3660
Mailing address
210 E MAIN ST, STE 2E, TUPELO, MS 38804-4031
(662) 823-3636
(662) 823-3660
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
ENDO-381-04
MS
Other
Enumeration date
03/21/2006
Last updated
07/08/2007
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