Healthcare Provider Details

I. General information

NPI: 1851034250
Provider Name (Legal Business Name): GCCRANE DDS, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/14/2022
Last Update Date: 04/14/2022
Certification Date: 04/14/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1850 W MOUNT HOPE AVE
LANSING MI
48910-2482
US

IV. Provider business mailing address

1850 W MOUNT HOPE AVE
LANSING MI
48910-2482
US

V. Phone/Fax

Practice location:
  • Phone: 517-482-8466
  • Fax: 517-482-8628
Mailing address:
  • Phone: 517-482-8466
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. GERALD C CRANE
Title or Position: DENTIST AND PRESIDENT OF PC
Credential: DDS
Phone: 517-482-8466