Provider Demographics
NPI:1174664155
Name:CRIMMEL, HAROLD JAMES JR (DMD)
Entity Type:Individual
Prefix:DR
First Name:HAROLD
Middle Name:JAMES
Last Name:CRIMMEL
Suffix:JR
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:LEWISTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:17044-1745
Mailing Address - Country:US
Mailing Address - Phone:717-248-3715
Mailing Address - Fax:
Practice Address - Street 1:28 N MAIN ST
Practice Address - Street 2:
Practice Address - City:LEWISTOWN
Practice Address - State:PA
Practice Address - Zip Code:17044-1745
Practice Address - Country:US
Practice Address - Phone:717-248-3715
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS024047L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice