Crawford, Charles Harmon

Crawford, Charles Harmon is an individual health care provider with primary practice located at 1236 Ebenezer Rd Ste 110, Rock Hill SC 29732-2300. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Crawford, Charles Harmon can be contacted via phone (803) 324-7540.

Contact Information

Primary practice address
1236 Ebenezer Rd Ste 110 Rock Hill SC 29732-2300
Fax: (803) 324-4128
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 0255 South Carolina

Profile Details

NPI number 1740288844
LBN Legal business name Crawford, Charles Harmon
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2005
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740288844 NPPES
South Carolina MEDICAID 444824

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