Crawford, St.Elmo Wallace

Crawford, St.Elmo Wallace is an individual health care provider with primary practice located at 1922 Benning Rd Ne , Washington DC 20002-4788. He recently has 3 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Pediatric Dentistry, Dental Providers / Orthodontics and Dentofacial Orthopedics. Dental Providers / General Practice is his primary health care specialty. Crawford, St.Elmo Wallace can be contacted via phone (202) 399-2244.

Contact Information

Primary practice address
1922 Benning Rd Ne Washington DC 20002-4788
Phone: (202) 399-2244
Fax: (202) 388-1115
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DEN3272 District of Columbia
Dental Providers / Pediatric Dentistry 1223P0221X DEN3272 District of Columbia
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X DEN3272 District of Columbia

Profile Details

NPI number 1457697591
LBN Legal business name Crawford, St.Elmo Wallace
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 18th, 2012
Last updated Dec 18th, 2012 - about 14 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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