Crammond, Randall J

Crammond, Randall J is an individual health care provider with primary practice located at 815 E 5Th St Suite 411, Alton IL 62002-6471. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Crammond, Randall J can be contacted via phone (618) 462-1646.

Contact Information

Primary practice address
815 E 5Th St Suite 411 Alton IL 62002-6471
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 021001076 Illinois

Profile Details

NPI number 1215063573
LBN Legal business name Crammond, Randall J
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2007
Last updated Feb 23rd, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers