Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DERRICK MYRON CRAWFORD, DDS, MS
Active Sole ProprietorDERRICK MYRON CRAWFORD, DDS, MS is a Orthodontics healthcare provider located in MOSCOW, Idaho. NPI 1497323976 is currently active in the NPPES registry. Verify at CMS.
Orthodontics · MOSCOW, ID
Registration Details
- NPI Number
- 1497323976
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 11, 2021 (5.1331443055901 yrs)
- Last Updated
- Jun 11, 2021
- Licenses
-
DE61157527 (WA)D-5265 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
505 S MOUNTAIN VIEW RDMOSCOW, ID, 838439205Browse ID providers · Browse ZIP 83843
- Phone
- 2088826360
- Primary Specialty
-
Orthodontics
1223X0400X
- Additional Specialty
- Orthodontics
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.