Organization
CAROLINE CRAWFORD, DDS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CAROLINE LEE CRAWFORD DDS (OWNER/DENTIST)
(870) 421-4230
Entity
Organization
Contact information
Practice address
301 S COLLEGE ST, MOUNTAIN HOME, AR 72653-3944
(870) 424-5900
(870) 424-5906
Mailing address
301 S COLLEGE ST, MOUNTAIN HOME, AR 72653-3944
(870) 424-5900
(870) 424-5906
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1174193809
DENTIST
AR
Enumeration date
07/19/2023
Last updated
07/19/2023
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