Stephen Leigh Crawford, DMD
Individual provider Active NPI Dentist · Flourtown, PA
NPI 1164528931 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1164528931
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- PA21665 (PA)
- Practice address
- 1107 Bethlehem Pike
Ste 102
Flourtown, PA 19031-1919 - Phone
- (215) 233-4141
- Fax
- (215) 233-4141
- NPI assigned
- Sep 16, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA21665 | PA | MD | Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | PA21665 | PA | Yes |
Addresses
Primary practice location
1107 Bethlehem Pike
Ste 102
Flourtown, PA 19031-1919
Mailing address
1107 Bethlehem Pike
Ste 102
Flourtown, PA 19031-1919
Phone (215) 233-4141
Other providers in Flourtown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.