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ST.ELMO W. CRAWFORD D.D.S.P.C. NPI 1720297344


NPI Information

NPI: 1720297344
Provider Name: ST.ELMO W. CRAWFORD D.D.S.P.C.

Other Name: CONNECTICUT AVENUE DENTAL

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
1922 BENNING RD NE
WASHINGTON, DC
ZIP 20002
Phone: (202) 399-2244
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ST.ELMO W. CRAWFORD D.D.S.P.C. is a general practice dentist in Washington, DC. The provider is 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. ST.ELMO W. CRAWFORD D.D.S.P.C. NPI is 1720297344. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Other Name Is Connecticut Avenue Dental.

The provider's business location address is:

1922 BENNING RD NE
WASHINGTON, DC
ZIP 20002-724
Phone: (202) 399-2244
Fax: (202) 388-1115

The provider's authorized official is St.elmo Wallace Crawford .
The authorized official title is President and has the following contact phone number (202) 399-2244.

The enumeration date for this NPI number is 5/21/2007 and was last updated on 12/13/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223P0221XDentistPediatric DentistryDEN3272DISTRICT OF COLUMBIANo
21223X0400XDentistOrthodontics and Dentofacial OrthopedicsDEN3272DISTRICT OF COLUMBIANo
31223G0001XDentistGeneral PracticeDEN3272DISTRICT OF COLUMBIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1035217400MEDICAIDDISTRICT OF COLUMBIA
2016851500MEDICAIDDISTRICT OF COLUMBIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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