Jeffrey R. Crowell, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

1854 Issued in NH

Practice address

483 Union Ave
Laconia, NH 03246-2817

Phone

(603) 528-4444

NPI assigned

Jul 11, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Laconia Family Dental PLLC

  • Dental Clinic/Center
  • Laconia, NH
  • NPI 1598303398
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256083200000",
    "number": "1174558944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "483 UNION AVE",
            "city": "LACONIA",
            "state": "NH",
            "postal_code": "032462817",
            "telephone_number": "603-528-4444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "483 UNION AVE",
            "city": "LACONIA",
            "state": "NH",
            "postal_code": "032462817",
            "telephone_number": "603-528-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROWELL",
        "first_name": "JEFFREY",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2009-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NH",
            "license": "1854",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NH",
            "license": "1854",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30007336",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph Gordon Coyle, M.D.
• Stacy Creamer, MS, LCMHC
• David Ross Croasdale, MD
• Wesley Crockett, PHARMD
• Laura G Crockford, OT
• Coleen L Curtin, APRN
• CVS Manchester NH, L.L.C.
• Nicholas D'Agostino
• Cheryl Dagnon
• Meghan Daigneau

• Dentist in Laconia, NH
• Providers in Laconia, NH by specialty
• Dentist in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.