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THANE EVANS CRUMP DDS PC NPI 1831391499


NPI Information

NPI: 1831391499
Provider Name: THANE EVANS CRUMP DDS PC

Other Name: LAKE AREA PEDIATRIC DENTISTRY

Classification: Dentist - 1223E0200X
Entity Type: Organization

Specialization: Endodontics

Address:
600 4TH ST NE
SUITE 208
WATERTOWN, SD
ZIP 57201
Phone: (605) 753-6824
Get Directions

THANE EVANS CRUMP DDS PC is an endodontics dentist in Watertown, SD. The provider is the branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. THANE EVANS CRUMP DDS PC NPI is 1831391499. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Lake Area Pediatric Dentistry.

The provider's business location address is:

600 4TH ST NE
SUITE 208
WATERTOWN, SD
ZIP 57201-898
Phone: (605) 753-6824

The provider's authorized official is Thane Crump .
The authorized official title is Dentist, Owner and has the following contact phone number (605) 753-6824.

The enumeration date for this NPI number is 6/4/2007 and was last updated on 8/22/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223E0200XDentistEndodonticsM 750SOUTH DAKOTAYes
21223P0221XDentistPediatric DentistryM 750SOUTH DAKOTAX

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: 11/14/2023

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