Individual provider · Type 1 NPI
Phillip Crum, DDS
Periodontics · Bellevue, WI
NPI number
1235683830
Active
Practice location
2581 Development Dr Ste 204
Bellevue, WI 54311-4248
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics Primary | 1223P0300X | 1002021-15 (WI) |
Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
About NPI 1235683830
Phillip Crum, DDS's National Provider Identifier is 1235683830, issued on Aug 11, 2016. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Bellevue, WI. The record was last updated on Jan 7, 2020.