Bruce Dennis Crawford, DDS

Individual provider Active NPI Dentist · Spruce Pine, NC

NPI 1528186277 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1528186277
Entity type
Individual (NPI type 1)
Primary specialty
Dentist 122300000X
License
7744 (NC)
Practice address
600 Amity Park Rd
Dental-Avery Mitchell Correctional Institution
Spruce Pine, NC 28777
Phone
(828) 765-0229
Fax
(828) 766-7015
NPI assigned
Mar 27, 2007
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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 7744 NC Yes

Addresses

Primary practice location

600 Amity Park Rd
Dental-Avery Mitchell Correctional Institution
Spruce Pine, NC 28777

Mailing address

PO Box 2259
Banner Elk, NC 28604-2259
Phone (828) 898-3373

Other providers in Spruce Pine, NC

All providers in Spruce Pine, NC · Dentist in North Carolina

Sources for this page

Verify at the official NPI Registry.