Provider Demographics
NPI:1851034250
Name:GCCRANE DDS, PC
Entity Type:Organization
Organization Name:GCCRANE DDS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST AND PRESIDENT OF PC
Authorized Official - Prefix:DR
Authorized Official - First Name:GERALD
Authorized Official - Middle Name:C
Authorized Official - Last Name:CRANE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:517-482-8466
Mailing Address - Street 1:1850 W MOUNT HOPE AVE
Mailing Address - Street 2:
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48910-2482
Mailing Address - Country:US
Mailing Address - Phone:517-482-8466
Mailing Address - Fax:
Practice Address - Street 1:1850 W MOUNT HOPE AVE
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48910-2482
Practice Address - Country:US
Practice Address - Phone:517-482-8466
Practice Address - Fax:517-482-8628
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-14
Last Update Date:2022-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental