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NPI Code Detail

MEDICARE: DR. GARY NEIL CRANE DMD

MEDICARE:  DR. GARY NEIL CRANE  DMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentistDI13705NJ

General Provider Information

NPI Number : 1558585414
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GARY NEIL CRANE DMD
Provider Business Mailing Address
First Line : 2110 W COUNTY LINE RD
Second Line :
City : JACKSON
State : NJ
Zip : 08527-2049
Country : US
Telephone Number : 732-905-7974
Fax Number :
Provider Business Practice Location Address
First Line : 2110 W COUNTY LINE RD
Second Line :
City : JACKSON
State : NJ
Zip : 08527-2049
Country : US
Telephone Number : 732-905-7974
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/12/2007
Last Update Date : 07/08/2007

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Directions to “ DR. GARY NEIL CRANE DMD” Practice Location

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