Provider Demographics
NPI:1528347580
Name:CRANE, MEGAN H (DDS)
Entity type:Individual
Prefix:DR
First Name:MEGAN
Middle Name:H
Last Name:CRANE
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1207 N LOOP 1604 W
Mailing Address - Street 2:118
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78258-4628
Mailing Address - Country:US
Mailing Address - Phone:210-479-8779
Mailing Address - Fax:210-479-7903
Practice Address - Street 1:1207 N LOOP 1604 W
Practice Address - Street 2:118
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78258-4628
Practice Address - Country:US
Practice Address - Phone:210-479-8779
Practice Address - Fax:210-479-7903
Is Sole Proprietor?:No
Enumeration Date:2011-08-09
Last Update Date:2011-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX27196122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist