| Maurice R Crowley Dmd Llc | |
|
1919 State St Suite 402 New Albany IN 47150-4953 | |
| (812) 945-2760 | |
| (812) 945-2780 |
| Full Name | Maurice R Crowley Dmd Llc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 1919 State St, New Albany, Indiana |
| Authorized Official Name and Position | Tamara Creamer (OFFICE MANAGER) |
| Authorized Official Contact | 8129452760 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maurice R Crowley Dmd Llc 1919 State St Suite 402 New Albany IN 47150-4953 Ph: (812) 945-2760 | Maurice R Crowley Dmd Llc 1919 State St Suite 402 New Albany IN 47150-4953 Ph: (812) 945-2760 |
| NPI Number | 1205268711 |
|---|---|
| Provider Enumeration Date | 08/07/2013 |
| Last Update Date | 06/02/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205268711 | NPI | - | NPPES |
| 100115950A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 12008221 (Indiana) | Primary |
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