Sheri Crawford
Dentist, General Practice in Fort Wayne, IN. Individual provider (NPI-1).
NPI number1154877611
StatusActive
Last updated in NPPESNov 2, 2022
Details
- NPI
- 1154877611
- Entity type
- Individual (NPI-1)
- Name
- Sheri Crawford
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 25, 2016
- Certification date
- Nov 2, 2022
- Last updated
- Nov 2, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 12013723A | IN | Yes |
| 122300000X | Dentist | 9583 | KY |
Practice location
1405 Medical Park DrFort Wayne, IN 46825-5889
Phone 404-578-1018
Mailing address
1405 Medical Park DrFort Wayne, IN 46825-5889
Phone 404-578-1018
Other practice locations
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