GEORGE A CRIPPS DDS PC; NPI #1750569323

Contact Information

GEORGE A CRIPPS DDS PC

6714 DIVISION AVE S
GRAND RAPIDS, MI 49548-7808

Phone: 616-455-7310
Fax: 616-455-0332
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Oral and Maxillofacial Surgery	261QS0112X

Indicates primary specialty

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NPI Profile & details for GEORGE A CRIPPS DDS PC

NPI Number 1750569323

LBN Legal business name GEORGE A CRIPPS DDS PC

Authorized official GEORGE CRIPPS - (PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 02/06/2008

Last updated 02/06/2008 - About 18 years ago

Identifiers

MI	License #	9406
MI	Medicaid	4018095

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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