JONATHAN G CRAWFORD DDS NPI 1720012503

NPI Information

  • NPI: 1720012503
  • Provider Name: JONATHAN G CRAWFORD, DDS
  • Classification: Oral & Maxillofacial Surgery - 204E00000X
  • Entity Type: Individual
  • Address: 512 N YOUNG ST
    KENNEWICK, WA
    ZIP 99336
  • Phone: (509) 783-7600

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NPI Details

Jonathan G Crawford, DDS is an oral maxillofacial surgery in Kennewick, WA. The provider is oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. Jonathan G Crawford, DDS NPI is 1720012503. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

512 N YOUNG ST
KENNEWICK, WA
ZIP 99336-806
Phone: (509) 783-7600
Fax: (509) 783-0774

The enumeration date for this NPI number is 7/10/2006 and was last updated on 11/25/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223S0112XDentistOral and Maxillofacial Surgery6459WASHINGTONNo
2204E00000XOral & Maxillofacial Surgery6459WASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1U50124MEDICARE UPINWASHINGTON
2319200902MEDICARE ID-TYPE UNSPECIFIEDWASHINGTON
35017660MEDICAIDWASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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