# JODY L. CROWL, D.D.S.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487705208
- **Authorized official:** JODY LYNN CROWL DDS (OWNER)
- **Authorized official phone:** (406) 628-8741

## Contact information

- **Practice address:** 113 W MAIN ST, LAUREL, MT 59044-3106
- **Practice address phone:** (406) 628-8741
- **Practice address fax:** (406) 628-8741
- **Mailing address:** PO BOX 338, LAUREL, MT 59044-0338
- **Mailing address phone:** (406) 628-8741
- **Mailing address fax:** (406) 628-8741

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 1965 | MT | Yes |
| 261Q00000X | Clinic/Center | — | — | — |

## Other

- **Enumeration date:** 01/16/2007
- **Last updated:** 07/30/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0111670 | — | MT |
| 01 | — | 5510839 | BLUE CHIP | MT |
