Individual
MR. MICHAEL CHARLES CRIPPEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1810 E 10TH ST, ROLLA, MO 65401-4603
(573) 364-1821
Mailing address
1810 E 10TH ST, ROLLA, MO 65401-4603
(573) 364-1821
(573) 362-3645
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2020009632
MO
1223G0001X
General Practice Dentistry
Primary
9528
IA
Other
Enumeration date
06/07/2018
Last updated
06/26/2026
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