Individual
DR. JOHN RAYMOND CRUMP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
610 HARGROVE RD E, TUSCALOOSA, AL 35401-3753
(205) 759-1000
(205) 752-2570
Mailing address
610 HARGROVE RD E, TUSCALOOSA, AL 35401-3753
(205) 759-1000
(205) 752-2570
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4626
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
529912650
—
AL
01
—
92560
BLUE CROSS BLUE SHIELD
AL
Enumeration date
08/30/2006
Last updated
08/17/2010
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