Provider Demographics
NPI:1912484676
Name:LINDA CRAWFORD DMD PC INC
Entity Type:Organization
Organization Name:LINDA CRAWFORD DMD PC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:CRAWFORD
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:256-534-3337
Mailing Address - Street 1:4985 SPARKMAN DR NW
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35810-3950
Mailing Address - Country:US
Mailing Address - Phone:256-534-3337
Mailing Address - Fax:256-534-3337
Practice Address - Street 1:4985 SPARKMAN DR NW
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35810-3950
Practice Address - Country:US
Practice Address - Phone:256-534-3337
Practice Address - Fax:256-534-3337
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-25
Last Update Date:2018-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL4011261QD0000X
332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment