Deontay Crawford

Dentist · Springfield, IL

Individual Active NPI

NPI number 1306367388

Practice location

2809 Mansion Rd Ste D
Springfield, IL 62711-6811
Phone
(217) 717-4405

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NPI record

NPI
1306367388
Entity type
Individual (Type 1)
Enumeration date
June 29, 2017
Last updated
June 29, 2017
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 019.031207 IL

Mailing address

220 Sawgrass Dr Apt 7
Chatham, IL 62629-8118

About Deontay Crawford

Deontay Crawford is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 2809 Mansion Rd Ste D, Springfield, IL 62711-6811. The NPI number 1306367388 was assigned on June 29, 2017 and the record was last updated on June 29, 2017.

Deontay Crawford lists a license in the registry: #019.031207 (IL) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Deontay Crawford?

The NPI number is 1306367388.

What is the phone number of Deontay Crawford?

The phone number listed for the practice location is (217) 717-4405.

Where is Deontay Crawford located?

2809 Mansion Rd Ste D, Springfield, IL 62711-6811.

What is the taxonomy code for Deontay Crawford?

The primary taxonomy code is 122300000X – Dentist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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