Dr Micah Crowley, DMD | |
505 1/2 Carnation Ave, Corona Del Mar, CA 92625-2046 | |
(406) 459-6140 | |
Not Available |
Full Name | Dr Micah Crowley |
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Gender | Male |
Speciality | Dentist - Periodontics |
Location | 505 1/2 Carnation Ave, Corona Del Mar, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1386059772 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | DS039876 (Pennsylvania) | Secondary |
1223P0300X | Dentist - Periodontics | DDS107031 (California) | Primary |
Entity Name | Dental Associates Ltd Of Wisconsin |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518266998 PECOS PAC ID: 0244402220 Enrollment ID: O20111018000066 |
Mailing Address | Practice Location Address |
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Dr Micah Crowley, DMD 505 1/2 Carnation Ave, Corona Del Mar, CA 92625-2046 Ph: (406) 459-6140 | Dr Micah Crowley, DMD 505 1/2 Carnation Ave, Corona Del Mar, CA 92625-2046 Ph: (406) 459-6140 |
Dr. George W Brazeal, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 2345 E Coast Hwy, Suite B, Corona Del Mar, CA 92625 Phone: 949-673-6443 | |
Dr. Cole Younger, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 2121 E Coast Hwy Ste 160, Corona Del Mar, CA 92625 Phone: 949-688-2050 | |
Svetlana Zhuravkova, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 401 Seaward Rd, #5, Corona Del Mar, CA 92625 Phone: 310-993-3742 | |
Dr. Jacqueline Younesi, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2121 E Coast Hwy Ste 230, Corona Del Mar, CA 92625 Phone: 949-246-2028 | |
Azin Rashidi, Dentist Medicare: Medicare Enrolled Practice Location: 4607 Fairfield Dr, Corona Del Mar, CA 92625 Phone: 310-993-0135 | |
Dr. Brett Christopher Brazeal, DDS Dentist Medicare: Medicare Enrolled Practice Location: 2345 E Coast Hwy Ste B, Corona Del Mar, CA 92625 Phone: 949-673-6443 Fax: 949-673-6447 |