Provider Demographics
NPI:1154324911
Name:CRAWFORD, STEVEN JOSEPH (DDS)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:JOSEPH
Last Name:CRAWFORD
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:827 128TH ST SW
Mailing Address - Street 2:STE D
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98204-5321
Mailing Address - Country:US
Mailing Address - Phone:425-353-0110
Mailing Address - Fax:425-348-5771
Practice Address - Street 1:827 128TH ST SW
Practice Address - Street 2:STE D
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98204-5321
Practice Address - Country:US
Practice Address - Phone:425-353-0110
Practice Address - Fax:425-348-5771
Is Sole Proprietor?:No
Enumeration Date:2005-05-24
Last Update Date:2008-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA52411223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice