Individual
DR. MAURICE R CROWLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1919 STATE ST, SUITE 402, NEW ALBANY, IN 47150-4929
(812) 945-2760
(812) 945-2780
Mailing address
1919 STATE ST, SUITE 402, NEW ALBANY, IN 47150-4929
(812) 945-2760
(812) 945-2780
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
1200-8221
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100115950A
—
IN
01
—
300058496
TAX ID
IN
Enumeration date
07/31/2006
Last updated
06/02/2014
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