Derrick Myron Crawford, DDS, MS
Derrick Myron Crawford, DDS, MS is an Orthodontics and Dentofacial Orthopedics Dentistry in Moscow, Idaho. Practices as a sole proprietor. Licensed in Idaho and Washington.
- Licensed in
- ID, WA
- In the registry since
- 2021
- Specialties on file
- 2
What do these letters mean?
Practice location Address checks out
505 S Mountain View RdMoscow, ID 83843-9205
Phone: (208) 882-6360
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Orthodontics and Dentofacial Orthopedics Dentistry (primary) | Taxonomy 1223X0400X · Licence D-5265 (ID) |
|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | Taxonomy 1223X0400X · Licence DE61157527 (WA) |
Record details
| NPI number | 1497323976 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | DDS , MS |
| Sole proprietor | Yes |
| NPI enumerated | June 11, 2021 |
| Last updated in NPPES | June 11, 2021 |
| Certification date | June 11, 2021 |
| Mailing address | 1005 Sw Latour Peak St, Pullman, WA 99163-5287 |