Dr. Michael D Crowder, DDS
Dentist, General Practice in Springdale, AR. Individual provider (NPI-1).
NPI number1699875294
StatusActive
Last updated in NPPESJul 2, 2012
Details
- NPI
- 1699875294
- Entity type
- Individual (NPI-1)
- Name
- Dr. Michael D Crowder
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 24, 2006
- Last updated
- Jul 2, 2012
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 2631 | AR | Yes |
Practice location
614 E Emma Ave Ste 300Springdale, AR 72764-4469
Phone 479-751-7417 · Fax 479-751-7304
Mailing address
614 E Emma Ave Ste 300Springdale, AR 72764-4469
Phone 479-751-7417 · Fax 479-750-0406
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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