WILLIAM KEITH CRUMMEY DMD PC (NPI# 1275556409) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275556409 |
| Entity Type | Organization |
| Organization Name | WILLIAM KEITH CRUMMEY DMD PC |
| Practice Address |
1601 Alice St Suite B Waycross GA 31501-4532 |
| Practice Telephone | 9122855967 |
| Practice Fax Number | 9122850762 |
| Mailing Telephone | 9122855967 |
| Mailing Fax Number | 9122850762 |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2008-07-31 |
| Authorized Official Name | DR. WILLIAM KEITH CRUMMEY (OWNER - PRESIDENT OF CORP.) |
| Authorized Official Telephone | 9122855967 |
| Authorized Official Credential | DMD PC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
10017 | GA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | LIC# | 10017 | 01 |
| Street Address |
1601 ALICE ST SUITE B |
| City | WAYCROSS |
| State | GA |
| Zip Code | 31501-4532 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962906115 | Davenport Health Pa | Family Medicine | 1401 Cherokee Drive, Waycross, GA 31501 | 2018-03-22 |
| 1962940478 | Blake Darren Aldridge | Physical Therapy Assistant | 401 Preston Street, Waycross, GA 31501 | 2017-02-03 |
| 1669922142 | Jebediah S. Christy Dds - Waycross Pllc | Dentist | 2271 Memorial Dr, Waycross, GA 31501 | 2016-10-10 |
| 1558721944 | Jana Kirby | Massage Therapist | 1599 Knight Ave., Kallman Chiropractic Center, Waycross, GA 31501 | 2016-02-29 |
| 1962877001 | Courtney Baldwin | Specialist/Technologist, Other | 2403 Spurgeon St, Waycross, GA 31501 | 2015-12-01 |
| 1912389784 | Grayson Stuart Griffis | Dentist | 2103 Tebeau St., Waycross, GA 31501 | 2015-06-29 |
| 1730561267 | Trishla Amit Desai | Internal Medicine | Memorial Satilla Health, 1900 Tebeau Street, Waycross, GA 31501 | 2015-06-20 |
| 1316330913 | Hanger Prosthetics & Orthotics, Inc. | Prosthetic/Orthotic Supplier | 512 City Blvd Ste H, Waycross, GA 31501 | 2015-03-06 |
| 1942699079 | Jose Ramon Martinez | Anesthesiology | 701 City Blvd, Waycross, GA 31501 | 2015-01-13 |
| 1023356714 | Orthopedics Surgeons of Georgia, LLC | Orthopaedic Surgery | 2015 Alice Street, Waycross, GA 31501 | 2013-01-30 |
| Find all providers in zip 31501 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134641095 | Scotty Blanchard Jr. | Dentist | 1601 Alice St Ste B, Waycross, GA 31501-4578 | 2017-07-12 |
| 1912389784 | Grayson Stuart Griffis | Dentist | 2103 Tebeau St., Waycross, GA 31501 | 2015-06-29 |
| 1558581504 | David K Morton | Dentist | 408 Lister St, Waycross, GA 31501-5226 | 2007-05-01 |
| 1518186915 | Jon A Drawdy Dmd PC | Dentist | 504 Screven Ave, Waycross, GA 31501-3464 | 2007-04-24 |
| 1124157847 | Jackson Family Dentistry PC | Dentist | 2009 Tebeau Street, Waycross, GA 31501 | 2007-03-06 |
| 1144399551 | John Robert Hopkins Jr. | Dentist | 610 Riverside Ave, Waycross, GA 31501-5323 | 2006-11-07 |
| 1538252408 | Jeffrey A Cauley | Dentist | 2103 Tebeau Street, Waycross, GA 31501 | 2006-10-02 |
| 1598857823 | William Keith Crummey | Dentist | 1601-b Alice St., Waycross, GA 31501 | 2006-09-28 |
| 1114941184 | George W. Thomas | Dentist | 1600 Alice St, Waycross, GA 31501-4533 | 2006-07-26 |
| 1720392913 | Thomas and Lucas Family Dentistry, LLC | Dentist | 1600 Alice St, Waycross, GA 31501-4533 | 2010-07-30 |
| Find all providers in WAYCROSS | ||||
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| 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.