| Jody L. Crowl, D.d.s. | |
|
113 W Main St Laurel MT 59044-3106 | |
| (406) 628-8741 | |
| (406) 628-8741 |
| Full Name | Jody L. Crowl, D.d.s. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 113 W Main St, Laurel, Montana |
| Authorized Official Name and Position | Jody L. Crowl (OWNER) |
| Authorized Official Contact | 4066288741 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jody L. Crowl, D.d.s. Po Box 338 Laurel MT 59044-0338 Ph: (406) 628-8741 | Jody L. Crowl, D.d.s. 113 W Main St Laurel MT 59044-3106 Ph: (406) 628-8741 |
| NPI Number | 1487705208 |
|---|---|
| Provider Enumeration Date | 01/16/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487705208 | NPI | - | NPPES |
| 0111670 | Medicaid | MT | |
| 5510839 | Other | MT | BLUE CHIP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 1965 (Montana) | Primary |
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