Organization
CRAWFORD ORTHODONTIC CARE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEITH SCOTT CRAWFORD (OWNER)
(770) 447-5311
Entity
Organization
Contact information
Practice address
3850 HOLCOMB BRIDGE RD, SUITE 230, NORCROSS, GA 30092-5223
(770) 447-5311
(770) 447-1865
Mailing address
3850 HOLCOMB BRIDGE RD, SUITE 230, NORCROSS, GA 30092-5223
(770) 447-5311
(770) 447-1865
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN009310
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00217797B
—
GA
Enumeration date
04/23/2007
Last updated
08/22/2020
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