Connecticut Avenue Dental

LBN: St.Elmo W. Crawford D.D.S.P.C.
Connecticut Avenue Dental is an health care organization with primary practice located at 1922 Benning Rd Ne , Washington DC 20002-4724. The organization recently has 3 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Pediatric Dentistry, Dental Providers / Orthodontics and Dentofacial Orthopedics. Dental Providers / General Practice is the primary health care specialty. St.Elmo W. Crawford D.D.S.P.C. can be contacted via phone (202) 399-2244, or through Crawford, St.Elmo Wallace via phone (202) 399-2244.

Contact Information

Primary practice address
1922 Benning Rd Ne Washington DC 20002-4724
Fax: (202) 388-1115
Website:
Authorized official contact:
Name: Crawford, St.Elmo Wallace Doctor of Dental Surgery (DDS)

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DEN3272 District of Columbia
Dental Providers / Pediatric Dentistry 1223P0221X DEN3272 District of Columbia
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X DEN3272 District of Columbia

Profile Details

NPI number 1720297344
LBN Legal business name St.Elmo W. Crawford D.D.S.P.C.
DBA Doing business as Connecticut Avenue Dental
Authorized official Crawford, St.Elmo Wallace Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date May 21st, 2007
Last updated Dec 13th, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720297344 NPPES
District of Columbia MEDICAID 035217400
District of Columbia MEDICAID 016851500

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