Deborah Susan Crecraft, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN9578 Issued in FL

Practice address

237 E International Speedway Blvd Suite 1B
Coast Dental Services PA
Deland, FL 32720-2339

Phone

(286) 943-9990

Fax

(386) 943-8988

NPI assigned

Sep 28, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Dr. Deborah Crecraft Taylor Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Coast Dental P.a.

  • Dentist
  • Deland, FL
  • NPI 1134795438
  NPD (past)
• Coast Dental P.a.

  • Dentist
  • Tampa, FL
  • NPI 1992803860
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201478400000",
    "number": "1104917632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "237 E INTERNATIONAL SPEEDWAY BLVD SUITE 1B",
            "address_2": "COAST DENTAL SERVICES PA",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327202339",
            "telephone_number": "286-943-9990",
            "fax_number": "386-943-8988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "237 E INTERNATIONAL SPEEDWAY BLVD SUITE 1B",
            "address_2": "COAST DENTAL SERVICES PA",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327202339",
            "telephone_number": "286-943-9990",
            "fax_number": "386-943-8988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRECRAFT",
        "first_name": "DEBORAH",
        "middle_name": "SUSAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2008-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN9578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBORAH",
            "last_name": "TAYLOR",
            "middle_name": "CRECRAFT",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Christopher Jon Cowell, DMD
• Caylen Cox
• Ginger A. Cox, LMT, CLT
• Rachel Anne Craddock, MED, LAT, ATC
• Ashlea Brooke Crawford, MSW
• Douglas Crouse
• Danielle Nicole Cruz, LMT
• Crystal Clear Vision
• Jennifer L Csenge, DDS
• Bailey Cuda

• General Practice Dentistry in Deland, FL
• Providers in Deland, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.