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General NPI Number Information
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NPI Number | 1134085103
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Entity Type | Organization
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Legal Business Name | CRYSTAL UMPHLETT DDS PLLC
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Dates
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Enumeration Date | 01/02/2026
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Last Update Date | 01/02/2026
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Provider Practice Location Address
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Address Line | 125 INVERNESS DR E STE 230
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City | ENGLEWOOD
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State | CO
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Zip | 80112-5138
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Country | US
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Telephone | 303-792-9904
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Fax |
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Provider Business Mailing Address
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Address Line | 125 INVERNESS DR E STE 230
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City | ENGLEWOOD
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State | CO
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Zip | 80112-5138
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Country | US
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Telephone | 307-899-0522
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | CRYSTAL UMPHLETT
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Credential | DDS
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Telephone | 307-899-0522
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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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