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
Phone: (202) 399-2244
Fax: (202) 388-1115
Website:
Authorized official contact:
Name: Crawford, St.Elmo Wallace Doctor of Dental Surgery (DDS)
Phone: (202) 399-2244
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720297344 | NPPES |
| District of Columbia | MEDICAID | 035217400 | |
| District of Columbia | MEDICAID | 016851500 |
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