Roy Elton Crowder Jr., DDS
Individual provider Active NPI General Practice Dentistry · Ripley, TN
NPI 1083602197 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1083602197
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- DS004048 (TN)
- Practice address
- 1800 Highway 51 S
Ripley, TN 38063-5598 - Phone
- (731) 635-5000
- Fax
- (731) 635-7540
- NPI assigned
- Oct 12, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161028001055 | TN | Order and Referring Only - Oral Surgery |
3870871627 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS004048 | TN | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crowder Family Dental Care, PC | Past | Accepting new patients | |
| Elite Dental Care Ripley | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DS004048 | TN | Yes |
Addresses
Primary practice location
1800 Highway 51 S
Ripley, TN 38063-5598
Mailing address
1800 Highway 51 S
Ripley, TN 38063-5598
Phone (731) 635-5000
Other providers in Ripley, TN
- Lauren Conatser
- Cedric Cooper
- Crain'S Pharmacy Inc
- Crossriver Telehealth PLLC
- Crowder Family Dental Care, PC
- Seth Howard Crowe
- Latoria Q Currie
- Kristin Deaton
- Destined for Greatness
- Stephanie L Dewalt
All providers in Ripley, TN · General Practice Dentistry in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.