Provider Demographics
NPI:1720975493
Name:CRANE, VICTORIA ASHLEY (DMD)
Entity type:Individual
Prefix:DR
First Name:VICTORIA
Middle Name:ASHLEY
Last Name:CRANE
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 1:313 MAIN STREET
Mailing Address - Street 2:
Mailing Address - City:BAYBORO
Mailing Address - State:NC
Mailing Address - Zip Code:28515-9529
Mailing Address - Country:US
Mailing Address - Phone:252-745-0781
Mailing Address - Fax:252-745-0557
Practice Address - Street 1:313 MAIN STREET
Practice Address - Street 2:
Practice Address - City:BAYBORO
Practice Address - State:NC
Practice Address - Zip Code:28515-9529
Practice Address - Country:US
Practice Address - Phone:252-745-0781
Practice Address - Fax:252-745-0557
Is Sole Proprietor?:No
Enumeration Date:2025-06-23
Last Update Date:2025-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC141441223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice