Creigh Crandall, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

18432 Issued in MD

Practice address

83 High St Ste a
Waldorf, MD 20602-2191

Phone

(301) 645-3601

NPI assigned

Jul 20, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Creigh Crandall DDS Waldorf PC

  • General Practice Dentistry
  • Waldorf, MD
  • NPI 1811713621
  NPD Authorized official
• Clinica Dental Latina

  • Preferred Provider Organization
  • Aurora, CO
  • NPI 1639323496
  NPD (past)

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

{
    "created_epoch": "1500508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785715200000",
    "number": "1386167377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83 HIGH ST STE A",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206022191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83 HIGH ST STE A",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206022191",
            "telephone_number": "301-645-3601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRANDALL",
        "first_name": "CREIGH",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-07-20",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "18432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dominique Covington, LPC
• Patrice Covington
• Mariama Akida Cox
• Briana Cragwell, LMSW
• Bradley Crain, LPC,CRC, NCC
• Jackie Dutchess Crawford, MHSA
• Jan Crawford
• Jess Hunley Crawford III, D.C.
• Creative Hands Services & Staffing, Inc.
• Creative Lifestyles Management Prog

• Dentist in Waldorf, MD
• Providers in Waldorf, MD by specialty
• Dentist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2026; 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.