Provider Demographics
NPI:1316986441
Name:CRAWFORD, JEFFREY W (DMD)
Entity type:Individual
Prefix:
First Name:JEFFREY
Middle Name:W
Last Name:CRAWFORD
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7284 MORROW COZADDALE RD
Mailing Address - Street 2:
Mailing Address - City:MORROW
Mailing Address - State:OH
Mailing Address - Zip Code:45152-9516
Mailing Address - Country:US
Mailing Address - Phone:513-899-2451
Mailing Address - Fax:
Practice Address - Street 1:121 E MCMILLAN ST
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45219-2606
Practice Address - Country:US
Practice Address - Phone:513-721-2444
Practice Address - Fax:513-721-2398
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH300181451223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice