Individual
DR. ROBERT GRANT MCCRACKEN SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
100 STOOPS DR, SUITE 260, MONONGAHELA, PA 15063-3553
(724) 483-5000
(724) 483-5001
Mailing address
100 STOOPS DR, SUITE 260, MONONGAHELA, PA 15063-3553
(724) 483-5000
(724) 483-5001
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS030969L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01752378
—
PA
Enumeration date
10/20/2006
Last updated
07/08/2007
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