# SHERI CRAWFORD

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1154877611
- **Gender:** F

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 9583 | KY | — |
| 1223G0001X | General Practice Dentistry | 12013723A | IN | Yes |

## Other

- **Enumeration date:** 08/25/2016
- **Last updated:** 11/02/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 12013723A | IN DENTAL LICENSE | IN |
| 01 | — | 1811604440 | NPI TYPE 2 | IN |