Provider Demographics
NPI:1336495712
Name:CRABTREE, MEGHAN WHITNEY (DMD)
Entity Type:Individual
Prefix:MRS
First Name:MEGHAN
Middle Name:WHITNEY
Last Name:CRABTREE
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 1:1025 WESTHAVEN BLVD
Mailing Address - Street 2:STE 150
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37064
Mailing Address - Country:US
Mailing Address - Phone:615-599-9752
Mailing Address - Fax:615-599-9754
Practice Address - Street 1:1025 WESTHAVEN BLVD
Practice Address - Street 2:STE. 150
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37064
Practice Address - Country:US
Practice Address - Phone:615-599-9752
Practice Address - Fax:615-599-9754
Is Sole Proprietor?:No
Enumeration Date:2012-08-03
Last Update Date:2016-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN9448122300000X, 1223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics
No122300000XDental ProvidersDentist