1. Home
  2. Directory
  3. Illinois
  4. Springfield
  5. Dentist
  6. NPI Profile

DEONTAY CRAWFORD
NPI 1306367388
Dentist in Springfield, IL

Active since June 29, 2017
2809 MANSION RD STE D, SPRINGFIELD, IL 62711(217) 717-4405 Get Directions Write a Review

NPPES record last updated: June 29, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Deontay Crawford NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEONTAY CRAWFORD (NPI 1306367388) is an individual dentist in Springfield, Illinois, licensed in Illinois (019.031207) and active in the NPI registry since June 2017.

NPPES Registry Identity

NPI1306367388
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDEONTAY CRAWFORD
Location Address2809 MANSION RD STE DSpringfield, IL 62711-6811
Mailing Address220 Sawgrass Dr Apt 7Chatham, IL 62629-8118
Phone(217) 717-4405
Sole ProprietorNo
Enumeration DateJune 29, 2017
✔ NPI 1306367388 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in IL · 019.031207
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
2809 MANSION RD STE D, Springfield, IL 62711
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. WILLIAM PUTMAN D.D.S.
Dentist (General Practice)
2809 MANSION RD STE D
SPRINGFIELD, IL 62711
Sangamon County (217) 697-5190
MEAGAN ELIZABETH HANNEY DMD
Dentist
2809 MANSION RD STE D
SPRINGFIELD, IL 62711
Sangamon County (217) 697-5190

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Deontay Crawford's NPI number?

The NPI number for Deontay Crawford is 1306367388. It was assigned to this individual provider in the NPPES registry on June 29, 2017.

Where is Deontay Crawford located?

Deontay Crawford practices at 2809 Mansion Rd Ste D, Springfield, IL 62711. The listed phone number is (217) 717-4405.

What is Deontay Crawford's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Deontay Crawford accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, HRI Dental & Vision and Humana and 2 other insurers list Deontay Crawford as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Deontay Crawford was last updated on June 29, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.