Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. PHILLIP CRUM, D.D.S.
ActiveDR. PHILLIP CRUM, D.D.S. is a Periodontology healthcare provider located in BELLEVUE, Wisconsin. NPI 1235683830 is currently active in the NPPES registry. Verify at CMS.
Periodontology · BELLEVUE, WI
Registration Details
- NPI Number
- 1235683830
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 11, 2016 (10.028374176728 yrs)
- Last Updated
- Jan 7, 2020
- License
-
1002021-15 (WI)
Practice Information
- Address
-
2581 DEVELOPMENT DR STE 204BELLEVUE, WI, 543114248Browse WI providers · Browse ZIP 54311
- Phone
- 9203472640
- Primary Specialty
-
Periodontology
1223P0300X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.