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DR. JEFFREY ALLEN CRANDALL D.D.S.
NPI 1790711414
Dentist - Oral and Maxillofacial Pathology in South Burlington, VT

Active since June 24, 2006
40 TIMBER LN, SOUTH BURLINGTON, VT 05403(802) 862-7185(802) 658-8036 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Jeffrey Allen Crandall D.d.s. NPPES

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

DR. JEFFREY ALLEN CRANDALL D.D.S. (NPI 1790711414) is an individual oral and maxillofacial pathology provider in South Burlington, Vermont, licensed in Vermont (615) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1790711414
Entity TypeIndividualMale
Primary Taxonomy1223P0106X
Provider Legal NameDR. JEFFREY ALLEN CRANDALLCredential: D.D.S.
Location Address40 TIMBER LNSouth Burlington, VT 05403-7204
Mailing Address74 Maple Rdg RdUnderhill, VT 05489-9227 · (802) 899-2022 · Fax (802) 658-8036
Phone(802) 862-7185
Fax(802) 658-8036
Sole ProprietorNo
Enumeration DateJune 24, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1790711414 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial PathologyDental Providers
Taxonomy Code1223P0106X
License✔ Licensed in VT · 615
Definition
The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations.
40 TIMBER LN, South Burlington, VT 05403
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Other Identifiers 3

Medicare ID-Type UnspecifiedVT1847VT
Medicare UPINT25289VT
Medicaid0001847VT

Other Providers at the Same Location NPPES

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

VERMONT DENTAL MEDICINE PLLC
Dentist
40 TIMBER LN
SOUTH BURLINGTON, VT 05403
Chittenden County (802) 862-7185

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 Jeffrey Crandall's NPI number?

The NPI number for Jeffrey Crandall is 1790711414. It was assigned to this individual provider in the NPPES registry on June 24, 2006.

Where is Jeffrey Crandall located?

Jeffrey Crandall practices at 40 Timber Ln, South Burlington, VT 05403. The listed phone number is (802) 862-7185.

What is Jeffrey Crandall's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Pathology, with taxonomy code 1223P0106X.

When was this NPI record last updated?

The NPPES record for Jeffrey Crandall was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.