Individual
HANNIBAL ALEXANDER CRISP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
4201 LAKE BOONE TRL STE 2, RALEIGH, NC 27607-7511
(919) 787-3949
Mailing address
4201 LAKE BOONE TRL STE 2, RALEIGH, NC 27607-7511
(919) 787-3949
(919) 787-7634
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
10091
NC
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
10091
NC
Other
Enumeration date
06/29/2015
Last updated
07/25/2025
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