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DR. PHILLIP CRUM D.D.S.
NPI 1235683830
Dentist - Periodontics in Bellevue, WI

Active since August 11, 2016
2581 DEVELOPMENT DR STE 204, BELLEVUE, WI 54311(920) 347-2640 Get Directions Write a Review

NPPES record last updated: January 7, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 7, 2020, Aug 11, 2016 (2 updates tracked since 2016).

About Dr. Phillip Crum D.d.s. NPPES

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

DR. PHILLIP CRUM D.D.S. (NPI 1235683830) is an individual periodontics provider in Bellevue, Wisconsin, licensed in Wisconsin (1002021-15) and active in the NPI registry since August 2016.

NPPES Registry Identity

NPI1235683830
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameDR. PHILLIP CRUMCredential: D.D.S.
Location Address2581 DEVELOPMENT DR STE 204Bellevue, WI 54311-4248
Mailing Address2581 Development Dr Ste 204Bellevue, WI 54311-4248 · (920) 347-2640
Phone(920) 347-2640
Sole ProprietorNo
Enumeration DateAugust 11, 2016
Last NPPES UpdateJanuary 7, 20202 updates tracked since enumeration
✔ NPI 1235683830 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in WI · 1002021-15
Definition
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.
2581 DEVELOPMENT DR STE 204, Bellevue, WI 54311
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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 Phillip Crum's NPI number?

The NPI number for Phillip Crum is 1235683830. It was assigned to this individual provider in the NPPES registry on August 11, 2016.

Where is Phillip Crum located?

Phillip Crum practices at 2581 Development Dr Ste 204, Bellevue, WI 54311. The listed phone number is (920) 347-2640.

What is Phillip Crum's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Phillip Crum was last updated on January 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.