WL Crabtree General Dentistry

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1760 Issued in AR

Legal business name

WL CRABTREE GENERAL DENTISTRY

Practice address

221 W Main St
Paragould, AR 72450-4327

Phone

(870) 236-3125

Fax

(870) 236-3125

NPI assigned

Dec 9, 2008

Organization subpart

No

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

Authorized official

Name

Dr. W L Crabtree, DDS

Title

Doctor/Owner

Phone

(870) 236-3125

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1228780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228780800000",
    "number": "1932344702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 W MAIN ST",
            "city": "PARAGOULD",
            "state": "AR",
            "postal_code": "724504327",
            "telephone_number": "870-236-3125",
            "fax_number": "870-236-3125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 W MAIN ST",
            "city": "PARAGOULD",
            "state": "AR",
            "postal_code": "724504327",
            "telephone_number": "870-236-3125",
            "fax_number": "870-236-3125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WL CRABTREE GENERAL DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-09",
        "last_updated": "2008-12-09",
        "status": "A",
        "authorized_official_last_name": "CRABTREE",
        "authorized_official_first_name": "W",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "870-236-3125",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AR",
            "license": "1760",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102519608",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carissa J Winn, ED.S, LAC
• Jamie Suzette Winn
• Melanie Wise, BS
• Ronette Wise, APN
• Andrew Withrow
• Haley A Wood
• Kacey Diane Wood, RN
• Kaelyn Woodie
• Jennifer Ann Woodside, LMT
• Michelle Lea Wooldridge, QBHP

• General Practice Dentistry in Paragould, AR
• Providers in Paragould, AR by specialty
• General Practice Dentistry in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 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.