Organization
CHARLES N CROWDER DMD PC
Active
Other names
Crowder Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES NEWTON CROWDER DMD MPH MS (PRESIDENT)
(334) 792-5124
Entity
Organization
Contact information
Practice address
334 JOHN D ODOM RD, DOTHAN, AL 36303-9479
(334) 792-5124
(334) 793-2049
Mailing address
334 JOHN D ODOM RD, DOTHAN, AL 36303-9479
(334) 792-5124
(334) 793-2049
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
5203
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5203
AL LICENSE
—
Enumeration date
10/19/2007
Last updated
06/08/2016
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