Organization
CHARLES H. CRAWFORD, JR DMD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES HARMON CRAWFORD JR. DMD (PRESIDENT)
(803) 324-7540
Entity
Organization
Contact information
Practice address
1236 EBENEZER RD, SUITE 110, ROCK HILL, SC 29732-2300
(803) 324-7540
(803) 324-4128
Mailing address
1236 EBENEZER RD, SUITE 110, ROCK HILL, SC 29732-2300
(803) 324-7540
(803) 324-4128
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZA-9869
—
SC
Enumeration date
07/12/2005
Last updated
07/21/2022
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