Provider Demographics
NPI:1750571907
Name:CRAWFORD, PAUL A (DDS)
Entity type:Individual
Prefix:DR
First Name:PAUL
Middle Name:A
Last Name:CRAWFORD
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:217 CALLE GRANADA
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93105-2701
Mailing Address - Country:US
Mailing Address - Phone:805-687-5256
Mailing Address - Fax:
Practice Address - Street 1:1165 COAST VILLAGE ROAD, STEJ
Practice Address - Street 2:
Practice Address - City:MONTECITO
Practice Address - State:CA
Practice Address - Zip Code:93108-4324
Practice Address - Country:US
Practice Address - Phone:805-969-1736
Practice Address - Fax:805-969-1721
Is Sole Proprietor?:No
Enumeration Date:2007-07-25
Last Update Date:2009-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA500481223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice