Crandall, Dawn Ann
Crandall, Dawn Ann is an individual health care provider with primary practice located at 8719 Stonewall Rd , Manassas VA 20110-4534. She recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as her primary health care specialty. Crandall, Dawn Ann can be contacted via phone (703) 368-1000.Contact Information
Primary practice address
8719 Stonewall Rd
Manassas VA 20110-4534
Phone: (703) 368-1000
Fax: (703) 331-4944
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | 7179 | Virginia |
Profile Details
| NPI number | 1952422784 |
|---|---|
| LBN Legal business name | Crandall, Dawn Ann |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 2nd, 2007 |
| Last updated | Jul 9th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952422784 | NPPES |
| Virginia | MEDICAID | 1639133291 |
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