Kyle Crawshaw in Gresham - Dentist

Kyle Crawshaw - NPI 1194888933

Kyle Crawshaw is a Dentist in Gresham, Oregon. Kyle Crawshaw practices all healthcare services and medical treatments related to Dentist. The NPI Number for Kyle Crawshaw is 1194888933. The last update date is 2015-11-24.

Kyle Crawshaw's current location address is 2458 Se Burnside Rd, Gresham, Oregon. You can contact this provider via phone number 5036668045 and fax number 5036668045. The mailing address for Kyle Crawshaw is 2458 Se Burnside Rd, Gresham, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Name Kyle Crawshaw
Address 2458 Se Burnside Rd, Gresham, Oregon
Phone Number 5036668045
Fax Number 5036668045
Sole Proprietor Y
Credentials DMD

NPI Number Detail

NPI Number 1194888933
Provider Enumeration Date 2006-12-19
Last Updated Date 2015-11-24

Provider Mailing Address Detail

Address 2458 Se Burnside Rd
City Gresham
State Oregon (OR)
Post Code 970801247
Phone Number 5036668045
Fax Number 5036668045

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No D9846
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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FAQs about Kyle Crawshaw

What is the unique 10-digit identification code issued to Kyle Crawshaw by the Centers for Medicare & Medicaid Services?

The Kyle Crawshaw has been assigned the NPI (National Provider Identifier) 1194888933 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Can you provide the Kyle Crawshaw's physical address?

The Kyle Crawshaw is physically located at 2458 Se Burnside Rd, in the city of Gresham, OR, with the postal code 970801247.

What is Kyle Crawshaw's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Kyle Crawshaw is Dentist, and the taxonomy code that categorizes this field of expertise is 122300000X.

On what date did the Kyle Crawshaw receive its 1194888933 assignment from the Centers for Medicare & Medicaid Services?

The Kyle Crawshaw was assigned its 1194888933 by the Centers for Medicare & Medicaid Services on 2006-12-19.

When was the information regarding Kyle Crawshaw most recently updated?

The details pertaining to the Kyle Crawshaw, including its address, specialty, and other relevant information, were last refreshed on 2015-11-24.

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