Provider Demographics
NPI:1457844565
Name:HALL CRUMSEY, ALBREIA LEVONTI (DMD)
Entity Type:Individual
Prefix:
First Name:ALBREIA
Middle Name:LEVONTI
Last Name:HALL CRUMSEY
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 1:6005 WATSON BLVD STE 200
Mailing Address - Street 2:
Mailing Address - City:BYRON
Mailing Address - State:GA
Mailing Address - Zip Code:31008-6542
Mailing Address - Country:US
Mailing Address - Phone:478-333-3570
Mailing Address - Fax:478-333-5655
Practice Address - Street 1:6005 WATSON BLVD STE 200
Practice Address - Street 2:
Practice Address - City:BYRON
Practice Address - State:GA
Practice Address - Zip Code:31008-6542
Practice Address - Country:US
Practice Address - Phone:478-333-3570
Practice Address - Fax:478-333-5655
Is Sole Proprietor?:No
Enumeration Date:2018-06-13
Last Update Date:2022-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GADN015677122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist