Individual
DR. GEORGE A CRIPPS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
6714 S DIVISION AVE, GRAND RAPIDS, MI 49548-7808
(616) 455-7310
Mailing address
6714 S DIVISION AVE, GRAND RAPIDS, MI 49548-7808
(616) 455-7310
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9406
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4018-0-95
—
MI
01
—
D094060
BCBS PROVIDER#
MI
Enumeration date
06/27/2005
Last updated
07/08/2007
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