Gary Lyle Crawford in Provo - Oral And Maxillofacial Surgery
Gary Lyle Crawford - NPI 1649353715
Gary Lyle Crawford is a Oral And Maxillofacial Surgery in Provo, Utah. Gary Lyle Crawford practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Gary Lyle Crawford is 1649353715. The last update date is 2022-06-23.
Gary Lyle Crawford's current location address is 777 N 500 W, Provo, Utah. You can contact this provider via phone number 8013754707. The mailing address for Gary Lyle Crawford is 777 N 500 W, Provo, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gary Lyle Crawford |
|---|---|
| Address | 777 N 500 W, Provo, Utah |
| Phone Number | 8013754707 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1649353715 |
|---|---|
| Provider Enumeration Date | 2006-10-23 |
| Last Updated Date | 2022-06-23 |
Provider Mailing Address Detail
| Address | 777 N 500 W |
|---|---|
| City | Provo |
| State | Utah (UT) |
| Post Code | 846011541 |
| Phone Number | 8013754707 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | 145474-9924 |
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Definition: The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 18381 | IHC |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Gary Lyle Crawford by the Centers for Medicare & Medicaid Services?
The Gary Lyle Crawford has been assigned the NPI (National Provider Identifier) 1649353715 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Gary Lyle Crawford?
The Gary Lyle Crawford is physically situated at 777 N 500 W, in the city of Provo, state of UT, with the postal code 846011541.
What is the Gary Lyle Crawford's area of specialization and corresponding taxonomy classification?
The Gary Lyle Crawford's specialty field is Oral And Maxillofacial Surgery, and it falls under the taxonomy code 1223S0112X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1649353715 to Gary Lyle Crawford?
The Centers for Medicare & Medicaid Services originally issued the 1649353715 to Gary Lyle Crawford on 2006-10-23.
When was the Gary Lyle Crawford's information last updated?
The Gary Lyle Crawford's information was last updated on 2022-06-23.