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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. THOMAS BRADLEY CRUMP, D.D.S., M.S.

Deactivated Sole Proprietor

DR. THOMAS BRADLEY CRUMP, D.D.S., M.S. is a Periodontology healthcare provider located in DALLAS, Texas. NPI 1689678252 is deactivated in the NPPES registry. Verify at CMS.

Periodontology · DALLAS, TX

This NPI has been deactivated. The record was deactivated on March 16, 2006. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1689678252
Provider Type
Individual
Gender
Male
NPI Issued
Jun 10, 2005 (0.76438356164384 yrs)
Last Updated
Mar 6, 2017
Deactivated
Mar 16, 2006
License
18997 (TX)
Sole Proprietor
Yes

Practice Information

Address
3100 MONTICELLO AVE
STE 825
DALLAS, TX, 752053437
Browse TX providers · Browse ZIP 75205
Phone
2144430876
Fax
2144430877
Primary Specialty
Periodontology
1223P0300X

Other Periodontology Providers in DALLAS, TX

Name Credential NPI
DR. MARSHAL D GOLDBERG DDS 1043216245
DR. THOMAS G. WILSON JR. D.D.S. 1124011002
DR. GARTH ROBERT GRIFFITHS D.D.S. 1427086883
DR. DAVID BROCK LYNN JR. D.D.S. 1639198310
DR. CRAIG STUART GOODMAN DDS 1285658005
DR. NICHOLAS L NEVILLE DDS,MD 1174631378
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.