| Steven G Crump DDS | |
|
3606 S Regal St Spokane WA 99223-4648 | |
| (509) 534-5353 | |
| (509) 534-5760 |
| Full Name | Steven G Crump DDS |
|---|---|
| Speciality | Dentist |
| Location | 3606 S Regal St, Spokane, Washington |
| Authorized Official Name and Position | Steven Glenn Crump (OWNER) |
| Authorized Official Contact | 5095345353 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Steven G Crump DDS 3606 S Regal St Spokane WA 99223-4648 Ph: (509) 534-5353 | Steven G Crump DDS 3606 S Regal St Spokane WA 99223-4648 Ph: (509) 534-5353 |
| NPI Number | 1982157905 |
|---|---|
| Provider Enumeration Date | 07/26/2016 |
| Last Update Date | 07/26/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982157905 | NPI | - | NPPES |
| 1002627 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DE00005406 (Washington) | Primary |
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