Provider Demographics
NPI:1386735561
Name:CRAWFORD, STEVEN ASHTON (DMD)
Entity type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:ASHTON
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 1:3673 N CAMPBELL AVE
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85719-1524
Mailing Address - Country:US
Mailing Address - Phone:520-324-0100
Mailing Address - Fax:520-323-3366
Practice Address - Street 1:3673 N CAMPBELL AVE
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85719-1524
Practice Address - Country:US
Practice Address - Phone:520-324-0100
Practice Address - Fax:520-323-3366
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ3047122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist