# IMPLANT DENTISTRY OF GREATER LANSING

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

## Provider details

- **NPI number:** 1396812996
- **Authorized official:** DR. ERWIN CRAWFORD D.D.S. (DENTIST)
- **Authorized official phone:** (517) 484-0329

## Contact information

- **Practice address:** 900 W OTTAWA ST, LANSING, MI 48915-1702
- **Practice address phone:** (517) 484-0329
- **Mailing address:** 900 W OTTAWA ST, LANSING, MI 48915-1702
- **Mailing address phone:** (517) 484-0329

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 12959 | MI | — |
| 1223G0001X | General Practice Dentistry | 17768 | MI | Yes |

## Other

- **Enumeration date:** 11/29/2006
- **Last updated:** 09/17/2012