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Individual

DR. TODD E CROWLEY

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
411 BILLINGSLEY RD, SUITE 105, CHARLOTTE, NC 28211-1066
(704) 347-3900
(704) 347-0133
Mailing address
411 BILLINGSLEY RD, SUITE 105, CHARLOTTE, NC 28211-1066
(704) 347-3900
(704) 347-0133

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
5802
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8991926
NC
01
91926
BCBS
NC
Enumeration date
02/15/2006
Last updated
07/08/2007
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