Organization
JOHN W. CROWDER, D.D.S.,P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN W. CROWDER DDS (OWNER)
(731) 660-7799
Entity
Organization
Contact information
Practice address
209 OIL WELL RD, JACKSON, TN 38305-7924
(731) 660-7799
(731) 660-4450
Mailing address
209 OIL WELL RD, JACKSON, TN 38305-7924
(731) 660-7799
(731) 660-4450
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
4312
TN
Other
Enumeration date
05/30/2008
Last updated
05/30/2008
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