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General NPI Number Information
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NPI Number | 1114854205
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Entity Type | Organization
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Legal Business Name | CRANFORD FAMILY DENTISTRY, LLC
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Dates
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Enumeration Date | 05/05/2026
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Last Update Date | 05/05/2026
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Provider Practice Location Address
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Address Line | 3626 CYPRESS ST
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City | WEST MONROE
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State | LA
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Zip | 71291-7314
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Country | US
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Telephone | 318-396-9667
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Fax | 318-396-9616
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Provider Business Mailing Address
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Address Line | 3626 CYPRESS ST
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City | WEST MONROE
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State | LA
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Zip | 71291-7314
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Country | US
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Telephone | 318-396-9667
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Fax | 318-396-9616
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Authorized Official
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Title or Position | DENTIST/OWNER
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Name | DR. RUSSELL WAYNE CRANFORD
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Credential | DDS
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Telephone | 318-396-9667
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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