Crawford, Precious Laverne
Crawford, Precious Laverne is an sole proprietor health care provider with primary practice located at 3604 John Carrol Dr , Decatur GA 30034-5600. She recently has 2 registered licenses in different health care specialties including Dental Providers / Periodontics, Dental Providers / General Practice. Dental Providers / General Practice is her primary health care specialty. Crawford, Precious Laverne can be contacted via phone (404) 218-9200.Contact Information
Primary practice address
3604 John Carrol Dr
Decatur GA 30034-5600
Phone: (404) 218-9200
Fax: (000) 000-0000
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Periodontics | 1223P0300X | DN010948 | Georgia |
| Dental Providers / General Practice | 1223G0001X | DN010948 | Georgia |
Profile Details
| NPI number | 1467528562 |
|---|---|
| LBN Legal business name | Crawford, Precious Laverne |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 28th, 2006 |
| Last updated | Dec 21st, 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 | 1467528562 | NPPES |
| Georgia | Other | 582398245 | TAX ID |
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