Individual provider · Type 1 NPI

Randall J. Crammond, DMD

Oral and Maxillofacial Surgery (Dentist) · Alton, IL

NPI number 1215063573 Active

Practice location

815 E 5th St, Suite 411
Alton, IL 62002-6471

Mailing address

1901 Paris Dr
Godfrey, IL 62035-1667

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X021001076 (IL)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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About NPI 1215063573

Randall J. Crammond, DMD's National Provider Identifier is 1215063573, issued on Feb 23, 2007. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Alton, IL. The record was last updated on Feb 23, 2012.