John George Crawford in Custer Park - Dentist
John George Crawford - NPI 1952422248
John George Crawford is a Dentist in Custer Park, Illinois. John George Crawford practices all healthcare services and medical treatments related to Dentist. The NPI Number for John George Crawford is 1952422248. The last update date is 2022-12-02.
John George Crawford's current location address is 37352 S Macks Rd, Custer Park, Illinois. You can contact this provider via phone number 7087909788 and fax number 7085240815. The mailing address for John George Crawford is 37352 S Macks Rd, Custer Park, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John George Crawford |
|---|---|
| Address | 37352 S Macks Rd, Custer Park, Illinois |
| Phone Number | 7087909788 |
| Fax Number | 7085240815 |
| Sole Proprietor | Y |
| Credentials | D.D.S., M. |
NPI Number Detail
| NPI Number | 1952422248 |
|---|---|
| Provider Enumeration Date | 2007-04-03 |
| Last Updated Date | 2022-12-02 |
Provider Mailing Address Detail
| Address | 37352 S Macks Rd |
|---|---|
| City | Custer Park |
| State | Illinois (IL) |
| Post Code | 604818426 |
| Phone Number | 7087909788 |
| Fax Number | 7085240815 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 12013818A |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 21.000832 | IL | SPECIALIST, PEDODONTICS | |
| 19.000939 | IL | DENTAL LICENSE | |
| 21.000939 | IL | SPECIALIST, ORTHODONTICS | |
| 12013818A | IN | DENTAL LICENSE |
Post Comment/ Review Below
What is the unique identifier code issued to John George Crawford by the Centers for Medicare & Medicaid Services (CMS)?
The John George Crawford has been assigned the NPI (National Provider Identifier) 1952422248. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical address where John George Crawford is geographically located?
The John George Crawford is physically situated at the following location: 37352 S Macks Rd, Custer Park, IL, 604818426.
What is the area of specialization for John George Crawford, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for John George Crawford is Dentist, and the corresponding taxonomy code that categorizes this area of expertise is 122300000X.
On what date did the John George Crawford receive its 1952422248 assignment from the Centers for Medicare & Medicaid Services?
The John George Crawford was assigned its 1952422248 by the Centers for Medicare & Medicaid Services on 2007-04-03.
As of what date was the information pertaining to John George Crawford, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to John George Crawford, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2022-12-02.