Provider Demographics
NPI:1447267216
Name:CRAWFORD, STANLEY D (DOS)
Entity type:Individual
Prefix:DR
First Name:STANLEY
Middle Name:D
Last Name:CRAWFORD
Suffix:
Gender:M
Credentials:DOS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16205 W 64TH AVE
Mailing Address - Street 2:STE 101
Mailing Address - City:ARVADA
Mailing Address - State:CO
Mailing Address - Zip Code:80007
Mailing Address - Country:US
Mailing Address - Phone:303-940-8880
Mailing Address - Fax:303-456-1036
Practice Address - Street 1:16205 W 64TH AVE
Practice Address - Street 2:STE 101
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80007
Practice Address - Country:US
Practice Address - Phone:303-940-8880
Practice Address - Fax:303-456-1036
Is Sole Proprietor?:No
Enumeration Date:2006-08-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO35541223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics