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General NPI Number Information
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NPI Number | 1255452231
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Entity Type | Organization
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Legal Business Name | JOHN G CRAWFORD DDS LTD
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Dates
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Enumeration Date | 04/03/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 505 N RIDGELAND AVE
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City | OAK PARK
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State | IL
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Zip | 60302-2328
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Country | US
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Telephone | 708-524-9788
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Fax | 708-524-0815
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Provider Business Mailing Address
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Address Line | 505 N RIDGELAND AVE
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City | OAK PARK
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State | IL
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Zip | 60302-2328
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Country | US
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Telephone | 708-524-9788
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Fax | 708-524-0815
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOHN GEORGE CRAWFORD III
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Credential | D.D.S., M.S.
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Telephone | 708-524-9788
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number |
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number |
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License Number State | IL
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