DR. PHILLIP CRUM


Address: 2581 Development Dr Ste 204, Bellevue, WI 54311-4248
Phone: 9203472640

DR. PHILLIP CRUM (NPI# 1235683830) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1235683830
Entity Type Individual
Full Name DR. PHILLIP CRUM
Credential D.D.S.
Practice Address 2581 Development Dr Ste 204
Bellevue
WI 54311-4248
Practice Telephone 9203472640
Mailing Telephone 9203472640
Enumeration Date 2016-08-11
Last Update Date 2020-01-07
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223P0300X Dentist
Specialization: Periodontics
1002021-15 WI Dental Providers

Other Providers PHILLIP CRUM

NPI Name Taxonomy Address Enumeration
1457995276 Phillip Crum Peer Specialist 201 Mechanic St, Lexington, KY 40507-1086 2019-11-05

Office Location

Street Address 2581 DEVELOPMENT DR STE 204
City BELLEVUE
State WI
Zip Code 54311-4248

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1295333847 Karen Ginnow Pharmacist Walmart #1908, 2292 Main St, Green Bay, WI 54311 2020-10-15
1639786551 Maggie Hall Dental Hygienist 2633 Development Dr. Ste 40, Green Bay, WI 54311 2020-09-24
1295370807 Jennifer Marie Arendt Technician 2970 Mossy Oak Cir #39, Green Bay, WI 54311 2019-11-07
1518508803 Cheryl Ann Johnson Specialist 830 Edgewood Dr., Green Bay, WI 54311 2019-10-08
1124670898 Robert H Wagner Family Dentist S.c. Dentist 2830 Curry Court, Suite 1, Green Bay, WI 54311 2019-07-12
1821659624 The Salvation Army Counselor The Salvation Army Ray & Joan Kroc Center, 1315 Lime Kiln Road, Green Bay, WI 54311 2019-06-24
1578052866 Matthew Robert Wagner Dentist 2830 Curry Ln #1, Green Bay, WI 54311 2018-05-02
1861916769 Atlas Spinal Care Chiropractor 2069 Central Ct, Suite 11, Green Bay, WI 54311 2017-08-01
1851844161 Green Bay Family Dental LLC Dentist 2609 Development Dr., Green Bay, WI 54311 2016-08-03
1710382809 Betsy Hoida Pharmacist 2485 Greenbrier Rd., Green Bay, WI 54311 2014-10-31
Find all providers in zip 54311

Taxonomy Information

Taxonomy Code 1223P0300X
Grouping Dental Providers
Classification Dentist
Specialization Periodontics

Taxonomy Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1225445539 Implant & Periodontic Specialists Dentist 1418 112th Ave Ne Suite 100, Bellevue, WA 98004 2014-07-18
1639416183 Jessica R Swoboda Dentist 10050 Ne 10th St # Stc, Bellevue, WA 98004-4121 2013-01-03
1508102120 Premier Periodontics Pplc Dentist 10050 Ne 10th St Suite C, Bellevue, WA 98004 2012-12-31
1861791915 Rosemary Thomas Dentist 14655 Ne Bel Red Rd Ste 202, Bellevue, WA 98007-3900 2011-03-15
1114049574 Huda Albather Dentist 14700 Ne 8th St Ste 205, Bellevue, WA 98007-4115 2007-04-05
1750402285 Cheryl L Townsend Dentist 14420 Bel Red Rd Ste 101, Bellevue, WA 98007-3930 2007-04-02
1912053836 Toyo Matsumoto Dentist 3316 129th Ave Ne, Bellevue, WA 98005-1347 2007-01-25
1346328523 Erika Smith Macdonald Dentist 121 112th Ave Ne, Suite A, Bellevue, WA 98004 2006-11-02
1821625989 Rosemary Thomas, Pllc Dentist 14655 Ne Bel Red Rd Ste 202, Bellevue, WA 98007-3900 2020-03-26
1962933150 Edward Im Dds Ps Dentist 1200 112th Ave Ne, C222, Bellevue, WA 98004-3732 2017-03-21
Find all providers in BELLEVUE

Competitor

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City BELLEVUE
Zip Code 54311

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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