Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1194839373 Individual Practitioner Male Practitioner

Dr. Gregory Alan Crawford , DDS

Dentist - General Practice • Fort Wayne, IN

Professional Overview & Biography Verified Profile Summary

Dr. Gregory Crawford, DDS is a registered healthcare professional specializing in Dentist - General Practice in Fort Wayne, IN. Practice services are available at 4116 E STATE BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4116 E State Blvd

Fort Wayne, IN 468156911

Telephone 2604823759
Fax 2604823750
Associated Practice Facility / Clinic
🏢 Hale Family Dentistry Corp Facility NPI 1912569492

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Fort Wayne, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 1.5 Yrs
State Avg: 14.3 Yrs
Regional Practice Density
148 Specialists

Practicing in Fort Wayne, IN (2204 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 IN 12006931A

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
100050850A (IN)

Practice Associates & Co-Workers

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

2 Associated Practitioners
Dr. Jonathan Hale , DDS

Dentist - General Practice

NPI 1063895670

Doctor of Dental Surgery

Dr. Mark Stoner , DDS

Dentist - General Practice

NPI 1285769299

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 October 27, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location October 27, 2011

Registered at 4116 E STATE BLVD, FORT WAYNE, IN 468156911 (Tel: 2604823759)

📍
Updated Business Mailing Address October 27, 2011

Registered at 4116 E STATE BLVD, FORT WAYNE, IN 468156911 (Tel: 2604823759)

👤
Provider Name / Credentials Updated October 27, 2011

Recorded as GREGORY CRAWFORD, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 27, 2011

Dentist (License #12006931A in IN)

🟢
Initial NPI Registration & Enumeration August 18, 2006

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: 1194839373
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 18, 2006
Last Update: October 27, 2011
Sole Proprietor: Yes

Mailing Address

4116 E State Blvd

Fort Wayne, IN 468156911

Phone: 2604823759

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.