DR. CLINTON R. CRANDALL (NPI# 1750646899) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750646899 |
| Entity Type | Individual |
| Full Name | DR. CLINTON R. CRANDALL |
| Credential | DDS |
| Practice Address |
1450 First Avenue Sw Quincy WA 98848 |
| Mailing Address |
605 S. Coolidge Street Moses Lake WA 98837-1863 |
| Practice Telephone | 5097650674 |
| Practice Fax Number | 5097656591 |
| Mailing Telephone | 5097650674 |
| Mailing Fax Number | 5097656591 |
| Enumeration Date | 2012-07-04 |
| Last Update Date | 2014-05-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DE60290898 | WA | Dental Providers |
| Street Address |
1450 FIRST AVENUE SW |
| City | QUINCY |
| State | WA |
| Zip Code | 98848 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336458967 | Darrin Mitsuo Tamanaha | Dentist | 1450 First Avenue Sw, Quincy, WA 98848 | 2010-09-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346723202 | Robert Eugene Bates | Counselor | 203 Central Ave So, Quincy, WA 98848 | 2018-09-07 |
| 1033691100 | Hector Ismael Zavala | Counselor | 203 So. Central Ave, Quincy, WA 98848 | 2018-09-05 |
| 1871097220 | Maricella Salazar | Counselor | 203 South Central, Quincy, WA 98848 | 2018-03-21 |
| 1982132577 | Madison Gonzalez | Counselor | 203 So. Central, Quincy, WA 98848 | 2017-05-26 |
| 1558806513 | Karla Daniela Morga | Massage Therapist | 21 D St. Sw, Suite B3, Quincy, WA 98848 | 2016-12-30 |
| 1104987189 | Steven Allen Adler | Massage Therapist | 723 Central Ave Sw, Quincy, WA 98848 | 2006-12-13 |
| 1164512083 | Grant County Public Hospital District #2 | General Acute Care Hospital | 908 Tenth Avenue Sw, Quincy, WA 98848 | 2006-10-13 |
| 1679684955 | Pamela Jean Duggan | Counselor | 21 D St Sw Suite B-3, Quincy, WA 98848 | 2006-08-31 |
| 1255448650 | Wallace Allyn Newkirk | Family Medicine | 908 Tenth Ave Sw, Quincy, WA 98848 | 2006-08-23 |
| 1356814370 | Sonia Ann Valdez | Counselor | 203 So. Central Ave, Quincy, WA 98848 | 2019-01-03 |
| Find all providers in zip 98848 | ||||
| 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 |
|---|---|---|---|---|
| 1386201226 | Buffalo Prairie Dental Surgery and Sedation Center Pllc | Dentist | 126 N 30th St Ste 102, Quincy, IL 62301-3719 | 2019-05-28 |
| 1972091338 | Sunny Gaudet | Dentist | 130 Parkingway, Quincy, MA 02169-5058 | 2018-05-01 |
| 1891224465 | Xiuping Wang | Dentist | 332 Victory Rd Ste 3a, Quincy, MA 02171-3120 | 2017-06-07 |
| 1386045557 | Sobia Roohi | Dentist | 1071 Southern Artery, Apt 708, Quincy, MA 02169 | 2014-09-08 |
| 1801208681 | Susan Ma | Dentist | 500 Congress St Ste 3e, Quincy, MA 02169-0960 | 2014-05-28 |
| 1083054001 | Rohan Shantanu Kirtane | Dentist | 45 Newport Avenue, Aspendental, Quincy, MA 02169 | 2013-07-05 |
| 1629346499 | Lumiere Dental Spa, LLC | Dentist | 495 Sea St, Quincy, MA 02169-2742 | 2011-12-08 |
| 1821365784 | Dr Dental of Quincy PC | Dentist | 101 Falls Blvd, Quincy, MA 02169-8126 | 2011-11-21 |
| 1417238700 | Lora L Nation | Dentist | 331 S 36th St, Suite 1, Quincy, IL 62301-5840 | 2011-08-31 |
| 1295024073 | Ivana Adamov Dds, PC | Dentist | 111 Willard St, Suite 1b, Quincy, MA 02169 | 2011-04-01 |
| Find all providers in QUINCY | ||||
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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.