MEDICARE: CRANFILL DENTAL

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
1	1223G0001X	General Practice Dentistry

General Provider Information

NPI Number	:	1417816182
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CRANFILL DENTAL

Provider Business Mailing Address
First Line	:	1806 TINKER DR
Second Line	:
City	:	WINDSOR
State	:	CO
Zip	:	80550-2776
Country	:	US
Telephone Number	:	719-480-5116
Fax Number	:

Provider Business Practice Location Address
First Line	:	1103 OAK PARK DR STE 105
Second Line	:
City	:	FORT COLLINS
State	:	CO
Zip	:	80525-6273
Country	:	US
Telephone Number	:	970-223-2882
Fax Number	:

Authorized Official
Title or Position	:	OWNER DENTIST
Name	:	DR. CLARK CRANFILL
Credential	:	DDS
Telephone Number	:	719-480-5116

Provider Enumeration Date	:	01/19/2026
Last Update Date	:	01/19/2026

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