Michael D Crawford DDS Inc

Organization Active NPI Dentist · San Diego, CA

NPI 1891858403 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1891858403
Entity type
Organization (NPI type 2)
Primary specialty
Dentist 122300000X
License
23815 (CA)
Legal business name
MICHAEL D CRAWFORD DDS INC
Practice address
5250 Murphy Canyon Road
#122
San Diego, CA 92123
Phone
(858) 268-8112
Fax
(858) 268-4218
NPI assigned
Dec 18, 2006
Organization subpart
No

Authorized official

Name
Michael D Crawford Sr., DDS
Title
President
Phone
(858) 268-8112

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 1

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

National Provider Directory

Tax ID family
Crawford Dental Group (2 organizations share this tax ID)

Locations

5250 Murphy Canyon Rd
Ste 122
San Diego, CA 92123
Phone (858) 268-8112

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist
Group: 193200000X MULTI-SPECIALTY GROUP
122300000X 23815 CA Yes

Addresses

Primary practice location

5250 Murphy Canyon Road
#122
San Diego, CA 92123

Mailing address

5250 Murphy Canyon Road
#122
San Diego, CA 92123
Phone (858) 268-8112

Other identifiers

IdentifierTypeStateIssuer
G9224702MedicaidCA
B2381502OtherCADELTA DENTAL HEALTHY FAMI

Other names

  • Murphy Canyon Dental Group Doing business as

Other providers in San Diego, CA

All providers in San Diego, CA · Dentist in California

Sources for this page

Verify at the official NPI Registry.