Carolyn B Crowell Dmd Inc | |
24930 Detroit Rd Westlake OH 44145-2528 | |
(440) 899-9600 | |
(440) 899-8112 |
Full Name | Carolyn B Crowell Dmd Inc |
---|---|
Speciality | Dentist - Pediatric Dentistry |
Location | 24930 Detroit Rd, Westlake, 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 24930 Detroit Rd Westlake OH 44145-2528 Ph: (440) 899-9600 |
NPI Number | 1386618072 |
---|---|
Provider Enumeration Date | 02/17/2006 |
Last Update Date | 08/22/2020 |
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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