| James J. Crumbaker, Dds Pc | |
|
85 Washington St Suite 1 Barre VT 05641-4297 | |
| (802) 476-7162 | |
| (802) 476-7120 |
| Full Name | James J. Crumbaker, Dds Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 85 Washington St, Barre, Vermont |
| Authorized Official Name and Position | James J Crumbaker (DENTIST) |
| Authorized Official Contact | 8024767162 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| James J. Crumbaker, Dds Pc 85 Washington St Suite 1 Barre VT 05641-4297 Ph: (802) 476-7162 | James J. Crumbaker, Dds Pc 85 Washington St Suite 1 Barre VT 05641-4297 Ph: (802) 476-7162 |
| NPI Number | 1144421900 |
|---|---|
| Provider Enumeration Date | 05/30/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144421900 | NPI | - | NPPES |
| 1006389 | Medicaid | VT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 016-0002029 (Vermont) | Primary |
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