Provider Demographics
NPI:1750530648
Name:THOMAS B. CRANFILL & ASSOC. PSC DBA ANCHORAGE DENTAL
Entity type:Organization
Organization Name:THOMAS B. CRANFILL & ASSOC. PSC DBA ANCHORAGE DENTAL
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:B
Authorized Official - Last Name:CRANFILL
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:502-243-9200
Mailing Address - Street 1:12907-B FACTORY LANE
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40245-5433
Mailing Address - Country:US
Mailing Address - Phone:502-243-9200
Mailing Address - Fax:502-243-9285
Practice Address - Street 1:12907-B FACTORY LN
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40245-5433
Practice Address - Country:US
Practice Address - Phone:502-243-9200
Practice Address - Fax:502-243-9285
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-16
Last Update Date:2008-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty