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NPI Code Detail

MEDICARE: ANDREA MARIE CRANE DDS

MEDICARE: ANDREA MARIE CRANE DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice DentistryDEN-DEN-LIC-33379MT

General Provider Information

NPI Number : 1164358966
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREA MARIE CRANE DDS
Provider Business Mailing Address
First Line : 1302 SAMPSON ST
Second Line :
City : BUTTE
State : MT
Zip : 59701-3406
Country : US
Telephone Number : 406-679-3338
Fax Number :
Provider Business Practice Location Address
First Line : 445 CENTENNIAL AVE
Second Line :
City : BUTTE
State : MT
Zip : 59701-2870
Country : US
Telephone Number : 406-496-6007
Fax Number : 406-496-6035
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/19/2026
Last Update Date : 06/25/2026

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