Healthcare Provider Details

I. General information

NPI: 1821446725
Provider Name (Legal Business Name): BRITTANY LYNN CRAWFORD DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: BRITTANY LYNN DREWS DDS

II. Dates (important events)

Enumeration Date: 06/01/2016
Last Update Date: 07/28/2021
Certification Date: 07/28/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

COMMUNITY HEALTH SERVICES 2221 HAYES AVE
FREMONT OH
43420
US

IV. Provider business mailing address

2221 HAYES AVE
FREMONT OH
43420-2632
US

V. Phone/Fax

Practice location:
  • Phone: 419-334-8855
  • Fax: 419-334-8546
Mailing address:
  • Phone: 419-334-3869
  • Fax: 419-334-8546

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License Number30.24742
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number30.024742
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: