Provider Demographics
NPI:1639856800
Name:CRUMP, SARAH KATHRYN (DMD)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:KATHRYN
Last Name:CRUMP
Suffix:
Gender:
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:107 E STARGRASS CIR
Mailing Address - Street 2:
Mailing Address - City:GOLDSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27534-6394
Mailing Address - Country:US
Mailing Address - Phone:919-357-3852
Mailing Address - Fax:
Practice Address - Street 1:1108 PARKWAY DR STE A
Practice Address - Street 2:
Practice Address - City:GOLDSBORO
Practice Address - State:NC
Practice Address - Zip Code:27534-9429
Practice Address - Country:US
Practice Address - Phone:919-230-0305
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-29
Last Update Date:2025-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC136901223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice