Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1730304437 Individual Practitioner Male Practitioner

Dr. Brian Robert Crawford , DDS

Dentist - General Practice • Pocatello, ID

Professional Overview & Biography Verified Profile Summary

Dr. Brian Crawford, DDS is a registered healthcare professional specializing in Dentist - General Practice in Pocatello, ID. Practice services are available at 465 MEMORIAL DR. under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

465 Memorial Dr.

Pocatello, ID 832098088

Telephone 2082825275
Fax 2082824950
Associated Practice Facility / Clinic
🏢 Idaho State University Facility NPI 1851516256

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Pocatello, ID

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 50.0 Yrs
State Avg: 28.3 Yrs
Regional Practice Density
50 Specialists

Practicing in Pocatello, ID (781 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License ID D3734

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
8068165 (ID)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Dr. Leigh Ammon , DMD

Dentist - General Practice

NPI 1174747190

Doctor of Dental Medicine

Dr. Jessica Hetcko , DDS

Dentist - General Practice

NPI 1356507925

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 465 MEMORIAL DR., POCATELLO, ID 832098088 (Tel: 2082825275)

📍
Updated Business Mailing Address July 08, 2007

Registered at 921 S. 8TH AVE., STOP 8088, POCATELLO, ID 832098088 (Tel: 2082825275)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as BRIAN CRAWFORD, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #D3734 in ID)

🟢
Initial NPI Registration & Enumeration April 16, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1730304437
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 16, 2007
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

921 S. 8th Ave., Stop 8088

Pocatello, ID 832098088

Phone: 2082825275

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.