Crumpley, Venesa Marie

Crumpley, Venesa Marie is an individual health care provider with primary practice located at 2630 W Arrowood Rd Ste C , Charlotte NC 28273-6263. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Dental Public Health. Dental Providers / Dentist is her primary health care specialty. Crumpley, Venesa Marie can be contacted via phone (980) 263-2330.

Contact Information

Primary practice address
2630 W Arrowood Rd Ste C Charlotte NC 28273-6263
Phone: (980) 263-2330
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 7967 North Carolina
Dental Providers / Dentist 122300000X 9277 Kentucky
Dental Providers / Dental Public Health 1223D0001X 7967 North Carolina

Profile Details

NPI number 1669569174
LBN Legal business name Crumpley, Venesa Marie
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2006
Last updated Feb 10th, 2022 - about 3 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 1669569174 NPPES
South Carolina Other 8475 STATE DENTAL LICENSE
South Carolina Other 9277 STATE DENTAL LICENSE
South Carolina Other 7967 STATE DENTAL LICENSE

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