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DR. GORDON W. CRUCIKSHANK D.D.S.
NPI 1902001191
Dentist - Oral and Maxillofacial Surgery in Folsom, CA

Active since June 18, 2007
1568 CREEKSIDE DR, SUITE 105, FOLSOM, CA 95630(916) 983-5552 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. Gordon W. Crucikshank D.d.s. NPPES

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

DR. GORDON W. CRUCIKSHANK D.D.S. (NPI 1902001191) is an individual oral and maxillofacial surgery provider in Folsom, California, licensed in California (24965) and active in the NPI registry since June 2007.

NPPES Registry Identity

NPI1902001191
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. GORDON W. CRUCIKSHANKCredential: D.D.S.
Location Address1568 CREEKSIDE DR, SUITE 105Folsom, CA 95630-3449
Mailing Address2350 Professional Dr, Suite 400Roseville, CA 95661-7747
Phone(916) 983-5552
Sole ProprietorYes
Enumeration DateJune 18, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1902001191 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 CA · 24965
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.
1568 CREEKSIDE DR, Folsom, CA 95630
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Other Providers at the Same Location NPPES 11

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

DERRICK S TANIHARA DDS
Dentist (Orthodontics and Dentofacial Orthopedics)
1568 CREEKSIDE DR, STE 201
FOLSOM, CA 95630
Sacramento County (916) 482-4853
DR. STEVE LONGORIA D.D.S.
Dentist (General Practice)
1568 CREEKSIDE DR, SUITE 205
FOLSOM, CA 95630
Sacramento County (916) 983-2900
DR. DAVID A GORDON PH. D
Psychologist
1568 CREEKSIDE DR, SUITE #206
FOLSOM, CA 95630
Sacramento County (916) 984-9148
GORDON PSYCHOTHERAPY, P.C.
Psychologist (Clinical)
1568 CREEKSIDE DR, SUITE #206
FOLSOM, CA 95630
Sacramento County (916) 984-9148
MS. LINDA E GORDON LCSW
Social Worker (Clinical)
1568 CREEKSIDE DR, SUITE 206
FOLSOM, CA 95630
Sacramento County (916) 984-9148
MS. KATHLEEN ANN BEAVERS MSW
Social Worker (Clinical)
1568 CREEKSIDE DR, SUITE 206
FOLSOM, CA 95630
Sacramento County (916) 984-8769
DR. JOSEPH PAUL HENNEBERRY III DDS
Dentist (General Practice)
1568 CREEKSIDE DR, SUITE 207
FOLSOM, CA 95630
Sacramento County (916) 608-9100
DR. NORBERT G KORP D.M.D.
Dentist (General Practice)
1568 CREEKSIDE DR, SUITE 202
FOLSOM, CA 95630
Sacramento County (916) 983-1862

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 Gordon Crucikshank's NPI number?

The NPI number for Gordon Crucikshank is 1902001191. It was assigned to this individual provider in the NPPES registry on June 18, 2007.

Where is Gordon Crucikshank located?

Gordon Crucikshank practices at 1568 Creekside Dr Suite 105, Folsom, CA 95630. The listed phone number is (916) 983-5552.

What is Gordon Crucikshank'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 Gordon Crucikshank 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.