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Deactivated NPI 1093884801 Deactivated / Inactive NPI Male Practitioner

Dr. James D Crandall , DDS

Dentist - General Practice • Deland, FL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. James Crandall has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 07, 2006
NPI Deactivation Date June 18, 2018
Total Practice Duration ~12 Years of Practice (2006 – 2018)

Professional Overview & Biography Verified Profile Summary

Dr. James Crandall, DDS was a registered Dentist - General Practice practicing in Deland, FL. Throughout an active medical career spanning 12 years, Dr. Crandall provided care at the practice location at 237 E INTERNATIONAL SPEEDWAY BLVD until profile deactivation on 2018-06-18.

Practice Location & Contact Primary Location

Practice Address

237 E International Speedway Blvd
#1b

Deland, FL 327242339

Telephone 3869439990
Fax 3869438980
Associated Practice Facility / Clinic
🏢 Coast Dental P.a. Facility NPI 1134795438

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Deland, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.0 Yrs
Regional Practice Density
20 Specialists

Practicing in Deland, FL (7473 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License FL DN8493

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Lisa Flouton , RDH

Dental Hygienist

NPI 1275136137

Registered Dental Hygienist

NPI 1487492278

Doctor of Dental Medicine

Dr. Francisca Montero , DDS

Dentist - General Practice

NPI 1598849853

Doctor of Dental Surgery

Dr. Zahid Juma , DDS

Dentist - General Practice

NPI 1760726285

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated June 18, 2018

Record deactivated on June 18, 2018

NPI Profile Active November 18, 2010

NPI status registered as active in NPPES database

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Updated Practice Location November 18, 2010

Registered at 237 E INTERNATIONAL SPEEDWAY BLVD, #1B, DELAND, FL 327242339 (Tel: 3869439990)

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Updated Business Mailing Address November 18, 2010

Registered at 237 E INTERNATIONAL SPEEDWAY BLVD, #1B, DELAND, FL 327242339 (Tel: 3869439990)

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Provider Name / Credentials Updated November 18, 2010

Recorded as JAMES CRANDALL, D.D.S.

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 18, 2010

Dentist (License #DN8493 in FL)

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Initial NPI Registration & Enumeration November 07, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1093884801
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 07, 2006
Last Update: November 18, 2010
Deactivation Date: June 18, 2018

Mailing Address

237 E International Speedway Blvd, #1b

Deland, FL 327242339

Phone: 3869439990

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.