Organization
R M CRANE DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REYNOLD MARVIN CRANE (PRESIDENT)
(570) 473-1100
Entity
Organization
Contact information
Practice address
241 POINT TOWNSHIP DR., NORTHUMBERLAND, PA 17857
(570) 473-1100
Mailing address
241 POINT TOWNSHIP DR., P O BOX 87, NORTHUMBERLAND, PA 17857
(570) 473-1100
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DS019633L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50003624
KEYSTONE HEALTH INSURANCE
PA
01
—
96010
HIGHMARK BLUESHIELD
PA
Enumeration date
03/27/2007
Last updated
08/22/2020
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