Crumpton, Brent Johnson

Crumpton, Brent Johnson is an sole proprietor health care provider with primary practice located at 210 E Main St Ste 2E, Tupelo MS 38804-4031. He recently has only one registered license in Dental Providers / Endodontics, which is considered as his primary health care specialty. Crumpton, Brent Johnson can be contacted via phone (662) 823-3636.

Contact Information

Primary practice address
210 E Main St Ste 2E Tupelo MS 38804-4031
Phone: (662) 823-3636
Fax: (662) 823-3660
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X ENDO-381-04 Mississippi

Profile Details

NPI number 1346209194
LBN Legal business name Crumpton, Brent Johnson
Credentials D.M.D., M.S.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 21st, 2006
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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