Crowder Family Dental Care, PC – Dentist

Key facts

NPI: 1265720320
Entity type: Organization (NPI type 2)
Primary specialty: Dentist 122300000X
License: DS4048 (TN)
Legal business name: CROWDER FAMILY DENTAL CARE, PC
Practice address: 1800 Highway 51 S
Ripley, TN 38063-5598
Phone: (731) 635-5000
Fax: (731) 635-7540
NPI assigned: Jul 11, 2011
Organization subpart: No

Authorized official

Name: Dr. Roy Crowder Jr., DDS NPI 1083602197
Title: President
Phone: (731) 635-5000

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Roy Elton Crowder Jr., DDS General Practice Dentistry · Ripley, TN · NPI 1083602197

NPD (past) Authorized official
Ross Russell, DDS General Practice Dentistry · Ripley, TN · NPI 1639002678

NPD (past)

National Provider Directory

Locations

1800 Highway 51 S
Ripley, TN 38063
Phone (731) 635-5000

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Dentist Group: 193400000X SINGLE SPECIALTY GROUP	122300000X	DS4048	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

All providers in Ripley, TN · Dentist 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 11, 2011. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.