Cripps, George A

Cripps, George A is an individual health care provider with primary practice located at 6714 S Division Ave , Grand Rapids MI 49548-7808. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Cripps, George A can be contacted via phone (616) 455-7310.

Contact Information

Primary practice address
6714 S Division Ave Grand Rapids MI 49548-7808
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 9406 Michigan

Profile Details

NPI number 1790781441
LBN Legal business name Cripps, George A
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2005
Last updated Jul 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790781441 NPPES
Michigan Other D094060 BCBS PROVIDER#
Michigan MEDICAID 4018-0-95 BCBS PROVIDER#

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