Organization
MAURICE R CROWLEY DMD LLC
Active
Other names
Maurice R Crowley DMD LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TAMARA CREAMER (OFFICE MANAGER)
(812) 945-2760
Entity
Organization
Contact information
Practice address
1919 STATE ST, SUITE 402, NEW ALBANY, IN 47150-4953
(812) 945-2760
(812) 945-2780
Mailing address
1919 STATE ST, SUITE 402, NEW ALBANY, IN 47150-4953
(812) 945-2760
(812) 945-2780
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
12008221
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100115950A
—
IN
Enumeration date
08/07/2013
Last updated
06/02/2014
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