Steven Craig Crippen, D.D.S.

Individual provider Active NPI General Practice Dentistry · Sweetwater, TN

NPI 1508945395 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1508945395
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
DS-2935 (TN)
Practice address
808 New Highway 68
Suite 2
Sweetwater, TN 37874-1904
Phone
(423) 337-6141
Fax
(423) 337-6142
NPI assigned
Nov 3, 2006
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
Part B services: No · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
DS-2935TNMDGeneral Practice Dentistry

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DS-2935 TN Yes

Addresses

Primary practice location

808 New Highway 68
Suite 2
Sweetwater, TN 37874-1904

Mailing address

808 New Highway 68
Suite 2
Sweetwater, TN 37874-1904
Phone (423) 337-6141

Other providers in Sweetwater, TN

All providers in Sweetwater, TN · General Practice Dentistry in Tennessee

Sources for this page

Verify at the official NPI Registry.