Provider Demographics
NPI:1336435288
Name:CRANE, JEFFREY RAYMOND (DDS)
Entity Type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:RAYMOND
Last Name:CRANE
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 1:10401 E COLFAX AVE STE 150
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80010-2371
Mailing Address - Country:US
Mailing Address - Phone:303-344-2273
Mailing Address - Fax:
Practice Address - Street 1:10401 E COLFAX AVE STE 150
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80010-2371
Practice Address - Country:US
Practice Address - Phone:303-344-2273
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-20
Last Update Date:2011-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODEN-104691223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice