| John W. Crowder, D.d.s.,p.c. | |
|
209 Oil Well Rd Jackson TN 38305-7924 | |
| (731) 660-7799 | |
| (731) 660-4450 |
| Full Name | John W. Crowder, D.d.s.,p.c. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 209 Oil Well Rd, Jackson, Tennessee |
| Authorized Official Name and Position | John W. Crowder (OWNER) |
| Authorized Official Contact | 7316607799 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John W. Crowder, D.d.s.,p.c. 209 Oil Well Rd Jackson TN 38305-7924 Ph: (731) 660-7799 | John W. Crowder, D.d.s.,p.c. 209 Oil Well Rd Jackson TN 38305-7924 Ph: (731) 660-7799 |
| NPI Number | 1396903811 |
|---|---|
| Provider Enumeration Date | 05/30/2008 |
| Last Update Date | 05/30/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396903811 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 4312 (Tennessee) | Primary |
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