# BRENT CRAWFORD DDS PA

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

## Provider details

- **NPI number:** 1952586489
- **Authorized official:** DR. BRENT CRAWFORD DDS (DENTIST)
- **Authorized official phone:** (704) 895-5850

## Contact information

- **Practice address:** 16525 BIRKDALE CMNS PKWY, SUITE 300, HUNTERSVILLE, NC 28078-3802
- **Practice address phone:** (704) 895-5850
- **Mailing address:** 16525 BIRKDALE CMNS PKWY, SUITE 300, HUNTERSVILLE, NC 28078-3802
- **Mailing address phone:** (704) 895-5850

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 5900 | NC | Yes |

## Other

- **Enumeration date:** 01/03/2008
- **Last updated:** 01/03/2008