Healthcare Provider Details

I. General information

NPI: 1164358966
Provider Name (Legal Business Name): ANDREA MARIE CRANE DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/19/2026
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

445 CENTENNIAL AVE
BUTTE MT
59701-2870
US

IV. Provider business mailing address

1302 SAMPSON ST
BUTTE MT
59701-3406
US

V. Phone/Fax

Practice location:
  • Phone: 406-496-6007
  • Fax: 406-496-6035
Mailing address:
  • Phone: 406-679-3338
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberDEN-DEN-LIC-33379
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: