Organization
JOHN P. CRISP, DDS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN P. CRISP DDS, MS (OWNER)
(910) 763-0355
Entity
Organization
Contact information
Practice address
2210 WRIGHTSVILLE AVE, SUITE 5, WILMINGTON, NC 28403-2406
(910) 763-0355
(910) 763-0358
Mailing address
2210 WRIGHTSVILLE AVE, SUITE 5, WILMINGTON, NC 28403-2406
(910) 763-0355
(910) 763-0358
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
4624
NC
Other
Enumeration date
12/29/2005
Last updated
10/11/2012
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