Individual provider · Type 1 NPI
Gordon W. Crucikshank, DDS
Oral and Maxillofacial Surgery (Dentist) · Folsom, CA
Practice location
1568 Creekside Dr, Suite 105
Folsom, CA 95630-3449
Mailing address
2350 Professional Dr, Suite 400
Roseville, CA 95661-7747
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 24965 (CA) |
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.
10 other providers at this address
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- Joseph Paul Henneberry Iii, DDSGeneral Practice Dentistry Folsom, CA NPI 1326193681
- Kathleen Ann Beavers, MSWClinical Social Worker Folsom, CA NPI 1306057104
- Linda E. Gordon, LCSWClinical Social Worker Folsom, CA NPI 1275743007
- Lynn Sterling Judd, DDSDentist Folsom, CA NPI 1801019336
- Patrick R. Maddox, DDSGeneral Practice Dentistry Folsom, CA NPI 1861615718
- Richard Mark Kilmer, DDS MSOrthodontics and Dentofacial Orthopedics Dentistry Folsom, CA NPI 1629265004
- Steve Longoria, DDSGeneral Practice Dentistry Folsom, CA NPI 1063581973
Other oral and maxillofacial surgery (dentist) providers in Folsom
About NPI 1902001191
Gordon W. Crucikshank, DDS's National Provider Identifier is 1902001191, issued on Jun 18, 2007. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Folsom, CA. The record was last updated on Jul 8, 2007.