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DR. RANDALL J CRAMMOND D.M.D.
NPI 1215063573
Dentist - Oral and Maxillofacial Surgery in Alton, IL

Active since February 23, 2007
815 E 5TH ST, SUITE 411, ALTON, IL 62002(618) 462-1646 Get Directions Write a Review

NPPES record last updated: February 23, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Randall J Crammond D.m.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. RANDALL J CRAMMOND D.M.D. (NPI 1215063573) is an individual oral and maxillofacial surgery provider in Alton, Illinois, licensed in Illinois (021001076) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1215063573
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. RANDALL J CRAMMONDCredential: D.M.D.
Location Address815 E 5TH ST, SUITE 411Alton, IL 62002-6471
Mailing Address1901 Paris DrGodfrey, IL 62035-1667
Phone(618) 462-1646
Sole ProprietorNo
Enumeration DateFebruary 23, 2007
Last NPPES UpdateFebruary 23, 2012
✔ NPI 1215063573 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in IL · 021001076
Definition
An oral and maxillofacial surgery dentist specialized in 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.
815 E 5TH ST, Alton, IL 62002
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Other Identifiers 2

Medicare ID-Type Unspecified671550IL
Medicare UPINT37687IL

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LEA ANNE VARBLE LCSW
Social Worker (Clinical)
815 E 5TH ST, SUITE 101
ALTON, IL 62002
Madison County (618) 463-5278
DR. KELLY ANN BOGOWITH PT
Physical Therapist
815 E 5TH ST, SUITE A, OUTPATIENT REHABILITATION SERVICES
ALTON, IL 62002
Madison County (618) 463-5344
RACHEL E REYNOLDS PT
Physical Therapist
815 E 5TH ST
ALTON, IL 62002
Madison County (618) 463-5171
KIRSTIN FISCHER DPT
Physical Therapist
815 E 5TH ST
ALTON, IL 62002
Madison County (618) 463-5171
DR. VICTOR HIDALGO M.D.
Family Medicine
815 E 5TH ST, 202
ALTON, IL 62002
Madison County (618) 462-4939
JAN R GREEN LCSW
Social Worker (Clinical)
815 E 5TH ST
ALTON, IL 62002
Madison County (618) 474-6244
MANPREET KAUR SANDHU M.D.
Internal Medicine (Hematology & Oncology)
815 E 5TH ST, SUITE 303
ALTON, IL 62002
Madison County (618) 474-4855
SOUTHERN ILLINOIS HEALTHCARE FOUNDATION, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
815 E 5TH ST
ALTON, IL 62002
Madison County (618) 397-3303

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Randall Crammond's NPI number?

The NPI number for Randall Crammond is 1215063573. It was assigned to this individual provider in the NPPES registry on February 23, 2007.

Where is Randall Crammond located?

Randall Crammond practices at 815 E 5th St Suite 411, Alton, IL 62002. The listed phone number is (618) 462-1646.

What is Randall Crammond's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Randall Crammond was last updated on February 23, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.