Crawford, Gary Lyle
Crawford, Gary Lyle is an individual health care provider with primary practice located at 777 N 500 W , Provo UT 84601-1541. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Crawford, Gary Lyle can be contacted via phone (801) 375-4707.Contact Information
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 145474-9924 | Utah |
Profile Details
NPI number | 1649353715 |
---|---|
LBN Legal business name | Crawford, Gary Lyle |
Credentials | Doctor of Dental Surgery (DDS) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 23rd, 2006 |
Last updated | Jun 23rd, 2022 - about 2 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1649353715 | NPPES |
Other | 18381 | IHC |
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