Dr. Jeffrey Allen Crandall
Oral and Maxillofacial Pathology
40 Timber Ln
South Burlington
, Vermont 05403-7204
Dr. Jeffrey Allen Crandall
Oral and Maxillofacial Pathology
40 Timber Ln
South Burlington
, Vermont 05403-7204
(802) 658-8036
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About
Features
Specialties
- Oral and Maxillofacial Pathology
Languages spoken
- English
Location
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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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)
Provider Location Address
Provider Mailing Address
Entity Type Code
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?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.