Active NPI
Charles Harmon Crawford Jr., DMD
- Pediatric Dentistry
- Rock Hill, SC
National Provider Identifier
1740288844
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 0255
- Practice address
- 1236 Ebenezer Rd
Ste 110
Rock Hill, SC 29732-2300 - Phone
- (803) 324-7540
- Fax
- (803) 324-4128
- NPI assigned
- Jul 12, 2005
- Last updated
- Jul 13, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 0255 | SC | Primary |
Addresses
Primary practice location
1236 Ebenezer Rd
Ste 110
Rock Hill, SC 29732-2300
Mailing address
1236 Ebenezer Rd
Ste 110
Rock Hill, SC 29732-2300
Phone (803) 324-7540
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 444824 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0255 | SC | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Charles H. Crawford, Jr DMD | Pediatric Dentistry | Past | Accepting new patients |
| Jackson Pediatric Dentistry LLC | Pediatric Dentistry | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pediatric Dentistry
- Rock Hill, SC
- NPI 1083612170
-
- Pediatric Dentistry
- Rock Hill, SC
- NPI 1144679507
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1740288844",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1236 EBENEZER RD",
"address_2": "STE 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": "STE 110",
"city": "ROCK HILL",
"state": "SC",
"postal_code": "297322300",
"telephone_number": "803-324-7540",
"fax_number": "803-324-4128"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRAWFORD",
"first_name": "CHARLES",
"middle_name": "HARMON",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-12",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "SC",
"license": "0255",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "444824",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rock Hill, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.