IndividualActive
Derrick Crawford, DDS, MS
NPI 1497323976 · Orthodontics and Dentofacial Orthopedics Dentistry · Moscow, ID
Provider details
- NPI number
- 1497323976
- Entity type
- Individual
- Primary specialty
- Orthodontics and Dentofacial Orthopedics DentistryDental Providers
- Credential
- DDS, MS
- Sex
- Male
- Sole proprietor
- Yes
- License
- DE61157527 (WA)
Mailing address
1005 Sw Latour Peak St
Pullman, WA 99163-5287
Registry dates
- Enumerated
- 2021-06-11
- Last updated
- 2021-06-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.