Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. GORDON W. CRUCIKSHANK, D.D.S.
Active Sole ProprietorDR. GORDON W. CRUCIKSHANK, D.D.S. is a Oral & Maxillofacial Surgery healthcare provider located in FOLSOM, California. NPI 1902001191 is currently active in the NPPES registry. Verify at CMS.
Oral & Maxillofacial Surgery · FOLSOM, CA
Registration Details
- NPI Number
- 1902001191
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 18, 2007 (19.151858587707 yrs)
- Last Updated
- Jul 8, 2007
- License
-
24965 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1568 CREEKSIDE DRSUITE 105FOLSOM, CA, 956303449Browse CA providers · Browse ZIP 95630
- Phone
- 9169835552
- Primary Specialty
-
Oral & Maxillofacial Surgery
1223S0112X
Other Oral & Maxillofacial Surgery Providers in FOLSOM, CA
| Name | Credential | NPI |
|---|---|---|
| VOLTAIRE SAMBAJON | DDS, MD | 1538492707 |
| DR. GREGORY G. OLSEN | DDS | 1205156775 |
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.