Provider Demographics
NPI:1821446725
Name:CRAWFORD, BRITTANY LYNN (DDS)
Entity Type:Individual
Prefix:DR
First Name:BRITTANY
Middle Name:LYNN
Last Name:CRAWFORD
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:BRITTANY
Other - Middle Name:LYNN
Other - Last Name:DREWS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:2221 HAYES AVE
Mailing Address - Street 2:
Mailing Address - City:FREMONT
Mailing Address - State:OH
Mailing Address - Zip Code:43420-2632
Mailing Address - Country:US
Mailing Address - Phone:419-334-3869
Mailing Address - Fax:419-334-8546
Practice Address - Street 1:COMMUNITY HEALTH SERVICES
Practice Address - Street 2:2221 HAYES AVE
Practice Address - City:FREMONT
Practice Address - State:OH
Practice Address - Zip Code:43420
Practice Address - Country:US
Practice Address - Phone:419-334-8855
Practice Address - Fax:419-334-8546
Is Sole Proprietor?:No
Enumeration Date:2016-06-01
Last Update Date:2021-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30.24742122300000X
OH30.0247421223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No122300000XDental ProvidersDentist