MEDICARE: DR. PAUL A CRAWFORD DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	50048	CA

General Provider Information

NPI Number	:	1750571907
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PAUL A CRAWFORD DDS

Provider Business Mailing Address
First Line	:	217 CALLE GRANADA
Second Line	:
City	:	SANTA BARBARA
State	:	CA
Zip	:	93105-2701
Country	:	US
Telephone Number	:	805-687-5256
Fax Number	:

Provider Business Practice Location Address
First Line	:	1165 COAST VILLAGE ROAD, STEJ
Second Line	:
City	:	MONTECITO
State	:	CA
Zip	:	93108-4324
Country	:	US
Telephone Number	:	805-969-1736
Fax Number	:	805-969-1721

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/25/2007
Last Update Date	:	08/05/2009

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