Charles Brant Crisp, DDS

General Practice Dentistry · Fort Smith, AR

Individual Active NPI

NPI number 1255414884

Practice location

2501 Market Trce
Ste a
Fort Smith, AR 72908-8677
Phone
(479) 434-6966

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NPI record

NPI
1255414884
Entity type
Individual (Type 1)
Enumeration date
October 24, 2006
Last updated
June 25, 2013
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 2929 AR

About Dr. Crisp

Charles Brant Crisp, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 2501 Market Trce, Ste a, Fort Smith, AR 72908-8677. The NPI number 1255414884 was assigned on October 24, 2006 and the record was last updated on June 25, 2013.

Dr. Crisp lists a license in the registry: #2929 (AR) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Charles Brant Crisp, DDS?

The NPI number is 1255414884.

What is the phone number of Dr. Crisp?

The phone number listed for the practice location is (479) 434-6966.

Where is Dr. Crisp located?

2501 Market Trce, Ste a, Fort Smith, AR 72908-8677.

What is the taxonomy code for Dr. Crisp?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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