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Dr. Jeffrey Allen Crandall

Oral and Maxillofacial Pathology

40 Timber Ln
South Burlington , Vermont 05403-7204

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Dr. Jeffrey Allen Crandall

Oral and Maxillofacial Pathology

40 Timber Ln
South Burlington , Vermont 05403-7204

(802) 658-8036

Write a Review Save Call

Dr. Jeffrey Allen Crandall

Oral and Maxillofacial Pathology

40 Timber Ln
South Burlington , Vermont 05403-7204

(802) 658-8036 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Oral and Maxillofacial Pathology

Languages spoken

  • English

Location

40 Timber Ln South Burlington , Vermont 05403-7204

First Address

  • Dr. Jeffrey Allen Crandall
  • 74 Maple Rdg Rd
  • Underhill, VT
  • Zip : 05489-9227
  • Fax : (802) 658-8036
  • Phone : (802) 899-2022

Second Address

  • Dr. Jeffrey Allen Crandall
  • 40 Timber Ln
  • South Burlington, VT
  • Zip : 05403-7204
  • Fax : (802) 658-8036
  • Phone : (802) 862-7185

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FAQs


Where did Dr. Jeffrey Allen Crandall attend graduate school?

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Where did Dr. Jeffrey Allen Crandall do his residency?

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Where did Dr. Jeffrey Allen Crandall do his fellowship?

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Is Dr. Jeffrey Allen Crandall board certified?

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What type of doctor is Dr. Jeffrey Allen Crandall

Oral and Maxillofacial Pathology

In what state does Dr. Jeffrey Allen Crandall practice in?

Vermont

Where is Dr. Jeffrey Allen Crandall ’s practice located?

40 Timber Ln , South Burlington, Vermont, 05403-7204

What is Dr. Jeffrey Allen Crandall ’s gender?

Male

Is Dr. Jeffrey Allen Crandall a sole practitioner?

No

Is Dr. Jeffrey Allen Crandall accepting new patients?

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What languages does Dr. Jeffrey Allen Crandall speak?

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Does Dr. Jeffrey Allen Crandall accept insurance?

Yes, Dr. Jeffrey Allen Crandall accepts insurance

Does Dr. Jeffrey Allen Crandall offers telemedicine?

Dr. Jeffrey Allen Crandall has not indicated if he offers telemedicine

What is Dr. Jeffrey Allen Crandall ’s professional license number?

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What is Dr. Jeffrey Allen Crandall ’s NPI number?

1790711414

Does Dr. Jeffrey Allen Crandall have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 1223P0106X Oral and Maxillofacial Pathology 615 VT

National Provider Identifier

NPI 1790711414
Provider Name Dr. Jeffrey Allen Crandall
First Address Underhill, VT 05489-9227
Second Address South Burlington, VT 05403-7204
Gender M
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 24/06/2006
Last Update Date 08/07/2007

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
0001847 (05) VT
T25289 (02) VT

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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