Provider Demographics
NPI:1932260346
Name:CRAWFORD, NORMAN L (DDS)
Entity Type:Individual
Prefix:
First Name:NORMAN
Middle Name:L
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 1:1401 N TUSTIN AVE
Mailing Address - Street 2:STE 345
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92705-8646
Mailing Address - Country:US
Mailing Address - Phone:714-835-9455
Mailing Address - Fax:714-835-3779
Practice Address - Street 1:1401 N TUSTIN AVE
Practice Address - Street 2:STE 345
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92705-8646
Practice Address - Country:US
Practice Address - Phone:714-835-9455
Practice Address - Fax:714-835-3779
Is Sole Proprietor?:No
Enumeration Date:2006-12-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA16489122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist