Provider Demographics
NPI:1689771347
Name:CRANGLE, HAROLD CARLETON (DDS)
Entity Type:Individual
Prefix:DR
First Name:HAROLD
Middle Name:CARLETON
Last Name:CRANGLE
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2636 TELEGRAPH AVE
Mailing Address - Street 2:
Mailing Address - City:BERKELEY
Mailing Address - State:CA
Mailing Address - Zip Code:94704-3322
Mailing Address - Country:US
Mailing Address - Phone:510-841-6357
Mailing Address - Fax:
Practice Address - Street 1:2636 TELEGRAPH AVE
Practice Address - Street 2:
Practice Address - City:BERKELEY
Practice Address - State:CA
Practice Address - Zip Code:94704-3322
Practice Address - Country:US
Practice Address - Phone:510-841-6357
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAD208391223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice