DR. BENJAMIN CRUSAN (NPI# 1710101076) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1710101076 |
Entity Type | Individual |
Full Name | DR. BENJAMIN CRUSAN |
Credential | D.D.S., P.L.L.C. |
Practice Address |
2 South 56th Place Suite 202 Ridgefield WA 98642 |
Mailing Address |
13204 Nw 42nd Ct Vancouver WA 98685-3340 |
Practice Telephone | 3608871177 |
Practice Fax Number | 3608871178 |
Mailing Telephone | 3605462124 |
Enumeration Date | 2007-04-11 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223G0001X |
Dentist Specialization: General Practice |
DE7985 | WA | Dental Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WA | STATE LICENSE NUMBER | DE7985 | 01 |
Street Address |
2 SOUTH 56TH PLACE SUITE 202 |
City | RIDGEFIELD |
State | WA |
Zip Code | 98642 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356462675 | Battle Ground Physical Therapy | Clinic/Center | 2 South 56th Place, Suite 100, Ridgefield, WA 98642 | 2007-04-03 |
1710264171 | Generations Counseling | Community/Behavioral Health | 2 South 56th Place, Suite 201-c, Ridgefield, WA 98642 | 2011-11-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073137741 | Oasis Dental Ridgefield | Clinic/Center | 11 S. 47th Ave. Suite 101, Ridgefiled, WA 98642 | 2020-05-29 |
1063055895 | Rosauers Supermarkets Inc | Pharmacy | 101 S. 47th Avenue, Ridgefield, WA 98642 | 2019-10-24 |
1619459070 | Alina Gwin Johnson | Behavioral Analyst | 2613 Ne 161st, Ridgefeild, WA 98642 | 2018-09-02 |
1710325675 | Dennis Herbert Gillespie | Dentist | 109 S. 65th Ave., Suite 104, Ridgefield, WA 98642 | 2013-06-12 |
1336423508 | Amanda Lepley | Counselor | 20107 Ne 29th Ave, Ridgefield, WA 98642 | 2011-10-05 |
1245365386 | Marilyn Kay Milestone | Midwife | 8004 So. 5th St., Ridgefield, WA 98642 | 2007-02-22 |
1346246303 | Samuel W Richard | Family Medicine | 8507 South 5th Street, Suite 113, Ridgefield, WA 98642 | 2005-06-23 |
1164659488 | Jonas Aharoni | Internal Medicine | 5515 Pioneer St, Ridgefield, WA 98642 | 2009-06-12 |
1245338227 | Ridgefield Family Medicine, Pllc | Family Medicine | 8507 South 5th Street, Suite 113, Ridgefield, WA 98642 | 2006-09-21 |
1720216914 | Beverly J. Babcock | Massage Therapist | 1720 Pioneer St., Ridgefield, WA 98642-0015 | 2009-06-25 |
Find all providers in zip 98642 |
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 |
---|---|---|---|---|
1740817410 | Eunchong Ju | Dentist | 321 Broad Ave Ste 5, Ridgefield, NJ 07657-2327 | 2020-03-24 |
1417357898 | Uan Cong Nguyen | Dentist | 106 Nw 199th St, Ridgefield, WA 98642-5797 | 2014-09-03 |
1932539129 | Cynthia D Lehnertz Dmd Pllc | Dentist | 2503 Ne 199th St, Ridgefield, WA 98642-7960 | 2013-11-25 |
1689860025 | Ozcan John Tas | Dentist | 476 Bergen Blvd, 1st Floor, Ridgefield, NJ 07657-2818 | 2007-09-19 |
1316130388 | Jeni Glavicic | Dentist | 560 Bergen Blvd, Ridgefield, NJ 07657-2024 | 2007-08-23 |
1811105521 | Grace Zucaro | Dentist | 500 Broad Ave, Ridgefield, NJ 07657-1649 | 2007-05-18 |
1932321759 | Dongkyun Daniel Kim | Dentist | 321 Broad Ave Building F Unit # 5, Ridgefield, NJ 07657 | 2007-05-02 |
1821216441 | Dana C Jones Dds PC | Dentist | 162 Danbury Road, Ridgefield, CT 06877 | 2007-04-20 |
1245359009 | Jeff Genova | Dentist | 38 B Grove Street, Ridgefield, CT 06877 | 2007-03-29 |
1174648281 | Charles Robert Becker | Dentist | 473 Shaler Blvd, Ridgefield, NJ 07657-2424 | 2007-03-20 |
Find all providers in RIDGEFIELD |
City | RIDGEFIELD |
Zip Code | 98642 |
Please comment or provide details below to improve the information on DR. BENJAMIN CRUSAN.
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.