Dr. Zachariah Lea Crawford, DMD
Dentist, General Practice in Hattiesburg, MS. Individual provider (NPI-1).
NPI number1194166017
StatusActive
Last updated in NPPESApr 1, 2016
Details
- NPI
- 1194166017
- Entity type
- Individual (NPI-1)
- Name
- Dr. Zachariah Lea Crawford
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 8, 2013
- Last updated
- Apr 1, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 3692-13MS | MS | Yes |
Practice location
47 E Lake RdHattiesburg, MS 39402-7706
Phone 601-466-9652
Mailing address
47 East Lake RdJackson, MS 39206
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