Provider Demographics
NPI:1891869863
Name:CRAWFORD, ALESIA MICHELE (DDS)
Entity Type:Individual
Prefix:DR
First Name:ALESIA
Middle Name:MICHELE
Last Name:CRAWFORD
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2330 COBBLE HILL TER
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20902-7605
Mailing Address - Country:US
Mailing Address - Phone:301-946-7474
Mailing Address - Fax:
Practice Address - Street 1:6710 OXON HILL RD
Practice Address - Street 2:SUITE 350
Practice Address - City:OXON HILL
Practice Address - State:MD
Practice Address - Zip Code:20745-1121
Practice Address - Country:US
Practice Address - Phone:301-248-3810
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD9969122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist