Individual
DR. TERENCE A CRISWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
40 PLEASANT ST, MARBLEHEAD, MA 01945-3432
(781) 631-8898
(781) 631-6921
Mailing address
40 PLEASANT ST, MARBLEHEAD, MA 01945-3432
(781) 631-8898
(781) 631-6921
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12163
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0241334
—
MA
Enumeration date
08/13/2006
Last updated
07/08/2007
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