Crumpton, John Jay
Crumpton, John Jay is an sole proprietor health care provider with primary practice located at 84 Helen Hwy , Cleveland GA 30528-7804. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Crumpton, John Jay can be contacted via phone (706) 865-3174.Contact Information
Primary practice address
84 Helen Hwy
Cleveland GA 30528-7804
Phone: (706) 865-3174
Fax: (706) 865-4646
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 12314 | Georgia |
Profile Details
| NPI number | 1922121490 |
|---|---|
| LBN Legal business name | Crumpton, John Jay |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 9th, 2007 |
| Last updated | Jul 9th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922121490 | NPPES |
| Georgia | MEDICAID | 9180906 |
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