DR. JEFFREY ALLEN CRANDALL D.D.S. NPI 1790711414

NPI Information

NPI: 1790711414
Provider Name: DR. JEFFREY ALLEN CRANDALL, D.D.S.
Classification: Dentist - 1223P0106X
Specialization: Oral and Maxillofacial Pathology
Entity Type: Individual
PECOS Registration: Yes
Address: 40 TIMBER LN
SOUTH BURLINGTON, VT
ZIP 05403
Phone: (802) 862-7185

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NPI Details

DR. Jeffrey Allen Crandall, D.D.S. is an oral and maxillofacial pathology dentist in South Burlington, VT. The provider is the specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations. DR. Jeffrey Allen Crandall, D.D.S. NPI is 1790711414. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

40 TIMBER LN
SOUTH BURLINGTON, VT
ZIP 05403-204
Phone: (802) 862-7185
Fax: (802) 658-8036

The NPI 1790711414 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

X-ray of body plane (HCPCS:76100)
Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
X-ray of lower jaws, upper jaws and teeth (HCPCS:70355)
Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
New patient office or other outpatient visit, 60-74 minutes (HCPCS:99205)
X-ray of face bones, 1-2 views (HCPCS:70140)
X-ray of paranasal sinus, minimum of 3 views (HCPCS:70220)
X-ray of skull, 1-3 views (HCPCS:70250)
Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)

The enumeration date for this NPI number is 6/24/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223P0106X	Dentist	Oral and Maxillofacial Pathology	615	VERMONT	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	VT1847	MEDICARE ID-TYPE UNSPECIFIED	VERMONT
2	T25289	MEDICARE UPIN	VERMONT
3	0001847	MEDICAID	VERMONT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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