Individual
DR. JERRY MARVIN CROWE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1109 N EASTMAN RD, KINGSPORT, TN 37664-3156
(423) 245-9071
(423) 245-9474
Mailing address
1109 N EASTMAN RD, KINGSPORT, TN 37664-3156
(423) 245-9071
(423) 245-9474
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS004037
TN
Other
Enumeration date
01/25/2007
Last updated
07/08/2007
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