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

Primary practice address
777 N 500 W Provo UT 84601-1541
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649353715 NPPES
Other 18381 IHC

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