Provider Demographics
NPI:1346417326
Name:CRABTREE, DANIKA J (DMD, MS)
Entity Type:Individual
Prefix:DR
First Name:DANIKA
Middle Name:J
Last Name:CRABTREE
Suffix:
Gender:F
Credentials:DMD, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2518 WHALE HARBOR LN
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33312-4646
Mailing Address - Country:US
Mailing Address - Phone:954-736-7801
Mailing Address - Fax:
Practice Address - Street 1:2518 WHALE HARBOR LN
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33312-4646
Practice Address - Country:US
Practice Address - Phone:954-736-7801
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-09
Last Update Date:2008-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN173341223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics