Crowder Family Dental Care, PC
Dentist in Ripley, TN. Organization (NPI-2).
NPI number1265720320
StatusActive
Last updated in NPPESJul 11, 2011
Details
- NPI
- 1265720320
- Entity type
- Organization (NPI-2)
- Legal business name
- Crowder Family Dental Care, PC
- Organization subpart
- No
- Enumeration date
- Jul 11, 2011
- Last updated
- Jul 11, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | DS4048 | TN | Yes |
Practice location
1800 Highway 51 SRipley, TN 38063-5598
Phone 731-635-5000 · Fax 731-635-7540
Mailing address
1800 Highway 51 SRipley, TN 38063-5598
Phone 731-635-5000 · Fax 731-635-7540
Authorized official
Roy Crowder
President
7316355000
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