NPIMap

Organization Active NPI

Creigh Crandall DDS Waldorf PC

  • General Practice Dentistry
  • Waldorf, MD
National Provider Identifier
1811713621
Registry record updated Aug 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
CREIGH CRANDALL DDS WALDORF PC
Practice address
83 High St Ste a
Waldorf, MD 20602-2191
Phone
(301) 645-3601
NPI assigned
Nov 26, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2026

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

Authorized official

Name
Creigh Crandall, DDSNPI 1386167377
Title
Doctor Owner
Phone
(773) 354-0342

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

83 High St Ste a
Waldorf, MD 20602-2191

Mailing address

83 High St Ste a
Waldorf, MD 20602-2191
Phone (301) 645-3601

Other names 1

  • Dental Care of Waldorf Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1732579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785801600000",
    "number": "1811713621",
    "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",
            "telephone_number": "301-645-3601"
        },
        {
            "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": {
        "organization_name": "CREIGH CRANDALL DDS WALDORF PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-26",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A",
        "authorized_official_last_name": "CRANDALL",
        "authorized_official_first_name": "CREIGH",
        "authorized_official_title_or_position": "DOCTOR OWNER",
        "authorized_official_telephone_number": "773-354-0342",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Care of Waldorf",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waldorf, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.