Organization
JEREMY M. CROW DDS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEREMY MICHAEL CROW DDS (PRESIDENT)
(304) 748-4210
Entity
Organization
Contact information
Practice address
3245 WEST ST, WEIRTON, WV 26062-4638
(304) 748-4210
(304) 748-2210
Mailing address
3245 WEST ST, WEIRTON, WV 26062-4638
(304) 748-4210
(304) 748-2210
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3670
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1275790073
—
WV
05
—
1669508776
—
WV
Enumeration date
02/24/2007
Last updated
08/11/2014
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