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NPI Code Detail

MEDICARE: DR. MICHAEL E. CRABTREE DDS

MEDICARE:  DR. MICHAEL E. CRABTREE  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
11223E0200XEndodonticsDD2566NM

General Provider Information

NPI Number : 1598824393
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHAEL E. CRABTREE DDS
Provider Business Mailing Address
First Line : 2425 RIDGECREST DR SE
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87108-5129
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2425 RIDGECREST DR SE
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87108-5129
Country : US
Telephone Number : 505-569-0536
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/07/2006
Last Update Date : 06/17/2025

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Directions to “ DR. MICHAEL E. CRABTREE DDS” Practice Location

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