Provider Demographics
NPI:1326608688
Name:CRUMLEY, MADISON (DMD)
Entity Type:Individual
Prefix:DR
First Name:MADISON
Middle Name:
Last Name:CRUMLEY
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 VANDERBILT PARK DR.
Mailing Address - Street 2:STE 220
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28803
Mailing Address - Country:US
Mailing Address - Phone:828-277-2214
Mailing Address - Fax:252-209-8652
Practice Address - Street 1:1 VANDERBILT PARK DR.
Practice Address - Street 2:SUITE
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28803
Practice Address - Country:US
Practice Address - Phone:828-277-2214
Practice Address - Fax:252-209-8652
Is Sole Proprietor?:No
Enumeration Date:2019-06-19
Last Update Date:2022-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC114271223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice