Individual
DR. VENESA MARIE CRUMPLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2630 W ARROWOOD RD STE C, CHARLOTTE, NC 28273-6263
(980) 263-2330
Mailing address
6618 SETON HOUSE LN, CHARLOTTE, NC 28277-4520
(910) 691-8984
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7967
NC
122300000X
Dentist
9277
KY
1223D0001X
Public Health Dentistry
7967
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7967
NC DENTAL LICENSE
NC
01
—
8475
STATE DENTAL LICENSE
SC
01
—
9277
KENTUCKY STATE DENTAL LICENSE
KY
Enumeration date
10/06/2006
Last updated
02/10/2022
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