Keith Scott Crawford Jr., DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DN123525 Issued in GA

Practice address

3850 Holcomb Bridge Rd Ste 230
Norcross, GA 30092-5240

Phone

(770) 447-5311

NPI assigned

Jul 24, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1721779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725408000000",
    "number": "1487482188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3850 HOLCOMB BRIDGE RD STE 230",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300925240",
            "telephone_number": "770-447-5311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3850 HOLCOMB BRIDGE RD STE 230",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300925240",
            "telephone_number": "770-447-5311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAWFORD",
        "first_name": "KEITH",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-07-24",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN123525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darby Jeter Coxhead, PHARMD
• Craig I Rich PHD PC
• Craig K. Petek D.C. P.C.
• Michael Craig, DC
• Crawford Orthodontic Care, P.C.
• Keith Scott Crawford, DMD
• Creative Community Service, Inc.
• Aldo Enrique Crespo Almanzar
• Crossings Counseling Center, Inc.
• Chance Crossland, BS

• Dentist in Norcross, GA
• Providers in Norcross, GA by specialty
• Dentist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2024; 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.