Michael T McCrady, DDS
Individual provider Active NPI General Practice Dentistry · Albany, IN
NPI 1194884072 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1194884072
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 7262 (IN)
- Practice address
- 936 W Walnut St
Albany, IN 47320-1530 - Phone
- (765) 789-4454
- Fax
- (765) 789-4499
- NPI assigned
- Dec 7, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12009977 | IN | MD | General Practice Dentistry |
| 7262 | IN | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 7262 | IN | Yes |
| General Practice Dentistry | 1223G0001X | 12009977 | IN |
Addresses
Primary practice location
936 W Walnut St
Albany, IN 47320-1530
Mailing address
PO Box 9
Albany, IN 47320-0009
Phone (765) 789-4454
Other providers in Albany, IN
- Indiana University Health Ball Memorial Physicians, Inc.
- John W Carter MD LLC
- Michael Jones
- Shaquia Marcoux
- Matthew T McCrady
- Audrea Ann Miller
- Jodi Lynn Morgan
- Riverview Hospital
- Terrence Roberts
- Joann Catherine Roessner
All providers in Albany, IN · General Practice Dentistry in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.