Individual provider · Type 1 NPI
Derrick Myron Crawford, DDS, MS
Orthodontics and Dentofacial Orthopedics Dentistry · Moscow, ID
Practice location
505 S Mountain View Rd
Moscow, ID 83843-9205
Mailing address
1005 SW Latour Peak St
Pullman, WA 99163-5287
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | DE61157527 (WA) |
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | D-5265 (ID) |
Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…
About NPI 1497323976
Derrick Myron Crawford, DDS, MS's National Provider Identifier is 1497323976, issued on Jun 11, 2021. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Moscow, ID. The record was last updated on Jun 11, 2021.