# J RANDALL CRAWFORD DDS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144741182
- **Authorized official:** JOHN RANDALL CRAWFORD DDS (OWNER DENTIST)
- **Authorized official phone:** (330) 821-7411

## Contact information

- **Practice address:** 2460 S UNION AVE, ALLIANCE, OH 44601
- **Practice address phone:** (330) 821-7411
- **Mailing address:** 2460 S UNION AVE, ALLIANCE, OH 44601-5057
- **Mailing address phone:** (330) 821-7411

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 30-016236 | OH | Yes |

## Other

- **Enumeration date:** 06/29/2017
- **Last updated:** 07/21/2022