Crowley, Micah

Crowley, Micah is an individual health care provider with primary practice located at 505 1/2 Carnation Ave , Corona Del Mar CA 92625-2046. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Periodontics. Dental Providers / Periodontics is his primary health care specialty. Crowley, Micah can be contacted via phone (406) 459-6140.

Contact Information

Primary practice address
505 1/2 Carnation Ave Corona Del Mar CA 92625-2046
Phone: (406) 459-6140
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DS039876 Pennsylvania
Dental Providers / Periodontics 1223P0300X DDS107031 California

Profile Details

NPI number 1386059772
LBN Legal business name Crowley, Micah
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2014
Last updated Oct 26th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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