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:
Health care specialties
Specialty | Code | License # | 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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