Charles H. Crawford, Jr DMD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

CHARLES H. CRAWFORD, JR DMD

Practice address

1236 Ebenezer Rd
Suite 110
Rock Hill, SC 29732-2300

Phone

(803) 324-7540

Fax

(803) 324-4128

NPI assigned

Jul 12, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Charles Harmon Crawford Jr., DMDNPI 1740288844

Title

President

Phone

(803) 324-7540

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Charles Harmon Crawford Jr., DMD

  • Pediatric Dentistry
  • Rock Hill, SC
  • NPI 1740288844
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1083612170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1236 EBENEZER RD",
            "address_2": "SUITE 110",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297322300",
            "telephone_number": "803-324-7540",
            "fax_number": "803-324-4128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1236 EBENEZER RD",
            "address_2": "SUITE 110",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297322300",
            "telephone_number": "803-324-7540",
            "fax_number": "803-324-4128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES H. CRAWFORD, JR DMD",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-12",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "CRAWFORD",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "HARMON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "803-324-7540",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZA-9869",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christyl Llopis Champion
• Mia Champion
• Barry B.K. Chan, MD
• Syleen Chan
• Chandler Place Senior Living, LLC
• James C Charles, M.D.
• Victoria A Charles
• Charlotte Eye Ear Nose & Throat Associates, PA
• Kelsie Chavis, RN
• Tammy T Chen, M.D.

• Pediatric Dentistry in Rock Hill, SC
• Providers in Rock Hill, SC by specialty
• Pediatric Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.