Individual
JOHN JAY CRUMPTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
84 HELEN HWY, CLEVELAND, GA 30528-7804
(706) 865-3174
(706) 865-4646
Mailing address
PO BOX 496, CLEVELAND, GA 30528-0009
(706) 865-3174
(706) 865-4646
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12314
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9180906
—
GA
Enumeration date
04/09/2007
Last updated
07/09/2007
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