| Crawford Implant & Laser Periodontics Pllc | |
|
5601 1st Ave S St Petersburg FL 33707-1703 | |
| (727) 343-3005 | |
| Not Available |
| Full Name | Crawford Implant & Laser Periodontics Pllc |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 5601 1st Ave S, St Petersburg, Florida |
| Authorized Official Name and Position | Madaline Crawford (ACCOUNTANT) |
| Authorized Official Contact | 7275423096 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crawford Implant & Laser Periodontics Pllc 5601 1st Ave S St Petersburg FL 33707-1703 Ph: (727) 343-3005 | Crawford Implant & Laser Periodontics Pllc 5601 1st Ave S St Petersburg FL 33707-1703 Ph: (727) 343-3005 |
| NPI Number | 1518721760 |
|---|---|
| Provider Enumeration Date | 02/08/2024 |
| Last Update Date | 02/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518721760 | NPI | - | NPPES |
| 1386317899 | Other | FL | DMD |
| 1669643532 | Other | FL | DMD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | (* (Not Available)) | Primary |
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