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Organization

CRAWFORD ORTHODONTICS, SC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JENNIFER PREBLE (FINANCIAL COORDINATOR)
(262) 694-5272
Entity
Organization

Contact information

Practice address
7851 COOPER RD, KENOSHA, WI 53142-4181
(262) 694-5272
(262) 694-3121
Mailing address
7851 COOPER RD, KENOSHA, WI 53142-4181
(262) 694-5272
(262) 694-3121

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1053604777
WI
05
1356563449
WI
Enumeration date
03/19/2026
Last updated
03/19/2026
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