Crawford, Keith Scott

Crawford, Keith Scott is an individual health care provider with primary practice located at 3850 Holcomb Bridge Road Suite 230, Norcross GA 30092. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Crawford, Keith Scott can be contacted via phone (770) 447-5311.

Contact Information

Primary practice address
3850 Holcomb Bridge Road Suite 230 Norcross GA 30092
Phone: (770) 447-5311
Fax: (770) 417-3500
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 9310 Georgia

Profile Details

NPI number 1649343682
LBN Legal business name Crawford, Keith Scott
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649343682 NPPES
Georgia MEDICAID 00217797B

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