Healthcare Provider Details

I. General information

NPI: 1558009803
Provider Name (Legal Business Name): JOSEPH D CRANSTON DDS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/26/2022
Last Update Date: 05/26/2022
Certification Date: 05/26/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11526 HIGHLAND RD
HARTLAND MI
48353-2711
US

IV. Provider business mailing address

11526 HIGHLAND RD
HARTLAND MI
48353-2711
US

V. Phone/Fax

Practice location:
  • Phone: 810-632-6770
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: DR. JOSEPH CRANSTON
Title or Position: OWNER / DENTIST
Credential: DDS
Phone: 810-632-6770