NPI 1174629794

Richard W Crawford, DMD

Practitioner Oral and Maxillofacial Surgery (Dentist) South Portland, ME

Practice location

Address: 440 Western Ave, South Portland, ME 04106
Phone: (207) 774-2611
Fax: (207) 774-2613

Registered specialties

Oral and Maxillofacial Surgery (Dentist) Primary

Dental Providers Taxonomy 1223S0112X Licence 3428 (ME)

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Registry record

NPI: 1174629794
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 Sep 2006
Record last updated: 12 Jun 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.