Provider Demographics
NPI:1265243802
Name:CRIMSON ENDODONTICS LLC
Entity type:Organization
Organization Name:CRIMSON ENDODONTICS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ENDODONTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:PHILIP
Authorized Official - Last Name:TRAN
Authorized Official - Suffix:
Authorized Official - Credentials:DMD, PHARM D, MMSC
Authorized Official - Phone:781-304-8216
Mailing Address - Street 1:244 RIVER ST
Mailing Address - Street 2:
Mailing Address - City:DEDHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02026-3211
Mailing Address - Country:US
Mailing Address - Phone:781-304-8216
Mailing Address - Fax:
Practice Address - Street 1:244 RIVER ST
Practice Address - Street 2:
Practice Address - City:DEDHAM
Practice Address - State:MA
Practice Address - Zip Code:02026-3211
Practice Address - Country:US
Practice Address - Phone:781-304-8216
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-14
Last Update Date:2025-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223E0200XDental ProvidersDentistEndodonticsGroup - Single Specialty