| Carolyn B Crowell Dmd Inc | |
|
24930 Detroit Rd Westlake OH 44145-2528 | |
| (440) 899-9600 | |
| (440) 899-8112 |
| Full Name | Carolyn B Crowell Dmd Inc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 24930 Detroit Rd, Westlake, Ohio |
| Authorized Official Name and Position | Carolyn Burke Crowell (PRESIDENT) |
| Authorized Official Contact | 4408999600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carolyn B Crowell Dmd Inc 36855 American Way Suite C Avon OH 44011 Ph: (440) 934-0149 | Carolyn B Crowell Dmd Inc 24930 Detroit Rd Westlake OH 44145-2528 Ph: (440) 899-9600 |
| NPI Number | 1386618072 |
|---|---|
| Provider Enumeration Date | 02/17/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386618072 | NPI | - | NPPES |
| 0748856 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 19025 (Ohio) | Primary |
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