Provider Demographics
NPI:1356597504
Name:CRAWFORD-MCKENDALL, ROSALYNN YVETTE (DDS)
Entity type:Individual
Prefix:DR
First Name:ROSALYNN
Middle Name:YVETTE
Last Name:CRAWFORD-MCKENDALL
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 1:6496 QUAIL RUN DR
Mailing Address - Street 2:
Mailing Address - City:PELHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35124-3104
Mailing Address - Country:US
Mailing Address - Phone:205-739-7773
Mailing Address - Fax:
Practice Address - Street 1:6496 QUAIL RUN DR
Practice Address - Street 2:
Practice Address - City:PELHAM
Practice Address - State:AL
Practice Address - Zip Code:35124-3104
Practice Address - Country:US
Practice Address - Phone:205-739-7773
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-08-07
Last Update Date:2014-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL57281223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL154169Medicaid