| Carolyn B Crowell Dmd Inc | |
|
36855 American Way Ste C Avon OH 44011-4059 | |
| (440) 934-0149 | |
| (440) 934-3990 |
| Full Name | Carolyn B Crowell Dmd Inc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 36855 American Way Ste C, Avon, Ohio |
| Authorized Official Name and Position | Carolyn Burke Crowell (PRESIDENT) |
| Authorized Official Contact | 4408999600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carolyn B Crowell Dmd Inc 36855 American Way Suite C Avon OH 44011 Ph: (440) 934-0149 | Carolyn B Crowell Dmd Inc 36855 American Way Ste C Avon OH 44011-4059 Ph: (440) 934-0149 |
| NPI Number | 1386618072 |
|---|---|
| Provider Enumeration Date | 02/17/2006 |
| Last Update Date | 07/30/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386618072 | NPI | - | NPPES |
| 0748856 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 19025 (Ohio) | Primary |
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