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Organization

JOHN J. CRUMPTON DMD, P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. TAMMY RENEE DRAWDY (OFFICE MANAGER)
(706) 865-0357
Entity
Organization

Contact information

Practice address
1018 S MAIN ST, CLEVELAND, GA 30528-1419
(706) 865-0357
(706) 348-1828
Mailing address
1018 S MAIN ST, CLEVELAND, GA 30528-1419
(706) 865-0357
(706) 348-1828

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
DN009444
GA
1223G0001X
General Practice Dentistry
DN009672
GA
1223G0001X
General Practice Dentistry
Primary
DN012314
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000379398L
GA
05
000936823B
GA
05
664016008L
GA
Enumeration date
03/25/2008
Last updated
06/20/2008
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