Organization
THANE EVANS CRUMP DDS PC
Active
Other names
Lake Area Pediatric Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THANE CRUMP DDS (DENTIST, OWNER)
(605) 753-6824
Entity
Organization
Contact information
Practice address
600 4TH ST NE, SUITE 208, WATERTOWN, SD 57201-1898
(605) 753-6824
Mailing address
600 4TH ST NE, SUITE 208, WATERTOWN, SD 57201-1898
(605) 753-6824
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
M 750
SD
1223P0221X
Pediatric Dentistry
M 750
SD
Other
Enumeration date
06/04/2007
Last updated
09/11/2025
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