Provider Demographics
NPI:1265527063
Name:CRIM, WILLIAM M (DDS)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:M
Last Name:CRIM
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:P.O. BOX 355
Mailing Address - Street 2:
Mailing Address - City:PORT ROYAL
Mailing Address - State:PA
Mailing Address - Zip Code:17082-0355
Mailing Address - Country:US
Mailing Address - Phone:717-527-2881
Mailing Address - Fax:717-527-2921
Practice Address - Street 1:807 MARKET STREET
Practice Address - Street 2:WILLIAM M CRIM DDS
Practice Address - City:PORT ROYAL
Practice Address - State:PA
Practice Address - Zip Code:17082-0355
Practice Address - Country:US
Practice Address - Phone:717-527-2881
Practice Address - Fax:717-527-2921
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2015-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS023210L122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist