Individual
DR. CANDACE CROWE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1706 S MAIN ST, KANNAPOLIS, NC 28081-5924
(704) 932-5000
(704) 932-5006
Mailing address
1706 S MAIN ST, KANNAPOLIS, NC 28081-5924
(704) 932-5000
(704) 932-5006
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
8287
NC
1223G0001X
General Practice Dentistry
14726
FL
1223G0001X
General Practice Dentistry
Primary
8287
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14726
FLORIDA DENTAL LICENSE
FL
05
—
5905149
—
NC
01
—
8287
NC DENTAL LICENSE
NC
Enumeration date
02/16/2007
Last updated
11/22/2011
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