Organization
CAROLYN B CROWELL DMD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CAROLYN BURKE CROWELL DMD (PRESIDENT)
(440) 899-9600
Entity
Organization
Contact information
Practice address
36855 AMERICAN WAY STE C, AVON, OH 44011-4059
(440) 934-0149
(440) 934-3990
Mailing address
36855 AMERICAN WAY, SUITE C, AVON, OH 44011
(440) 934-0149
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
19025
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0748856
—
OH
Enumeration date
02/17/2006
Last updated
07/30/2024
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