| Sheri Crawford, Dmd, Llc | |
|
1405 Medical Park Dr Fort Wayne IN 46825-5889 | |
| (260) 471-1695 | |
| Not Available |
| Full Name | Sheri Crawford, Dmd, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1405 Medical Park Dr, Fort Wayne, Indiana |
| Authorized Official Name and Position | Sheri Crawford (DENTIST OWNER) |
| Authorized Official Contact | 4045781018 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sheri Crawford, Dmd, Llc 1405 Medical Park Dr Fort Wayne IN 46825-5889 Ph: (260) 471-1695 | Sheri Crawford, Dmd, Llc 1405 Medical Park Dr Fort Wayne IN 46825-5889 Ph: (260) 471-1695 |
| NPI Number | 1811604440 |
|---|---|
| Provider Enumeration Date | 11/02/2022 |
| Last Update Date | 11/02/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811604440 | NPI | - | NPPES |
| 1154877611 | Other | IN | NPI TYPE 1 |
| 12013723A | Other | IN | IN DENTAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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