Gary Fowler Crow Sr. in Clinton - Dentist
Gary Fowler Crow Sr. - NPI 1518029099
Gary Fowler Crow Sr. is a Dentist in Clinton, South Carolina. Gary Fowler Crow Sr. practices all healthcare services and medical treatments related to Dentist. The NPI Number for Gary Fowler Crow Sr. is 1518029099. The last update date is 2007-07-08.
Gary Fowler Crow Sr.'s current location address is 23454 Highway 76 E, Clinton, South Carolina. You can contact this provider via phone number 8648335793 and fax number 8648331590. The mailing address for Gary Fowler Crow Sr. is 23454 Highway 76 E, Clinton, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gary Fowler Crow Sr. |
|---|---|
| Address | 23454 Highway 76 E, Clinton, South Carolina |
| Phone Number | 8648335793 |
| Fax Number | 8648331590 |
| Sole Proprietor | Y |
| Credentials | D.M.D. |
NPI Number Detail
| NPI Number | 1518029099 |
|---|---|
| Provider Enumeration Date | 2006-12-14 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 23454 Highway 76 E |
|---|---|
| City | Clinton |
| State | South Carolina (SC) |
| Post Code | 293257534 |
| Phone Number | 8648335793 |
| Fax Number | 8648331590 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 2788 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| Z27882 | SC | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Gary Fowler Crow Sr. by the Centers for Medicare & Medicaid Services?
The Gary Fowler Crow Sr. has been issued the NPI (National Provider Identifier) 1518029099 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Gary Fowler Crow Sr.'s facilities are situated?
The facilities of Gary Fowler Crow Sr. are physically located at the following address: 23454 Highway 76 E, Clinton, SC, 293257534.
What is Gary Fowler Crow Sr.'s specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Gary Fowler Crow Sr. is Dentist, and the taxonomy code that classifies this field of practice is 122300000X.
On what date did the Gary Fowler Crow Sr. receive its 1518029099 assignment from the Centers for Medicare & Medicaid Services?
The Gary Fowler Crow Sr. was assigned its 1518029099 by the Centers for Medicare & Medicaid Services on 2006-12-14.
As of what date were the Gary Fowler Crow Sr.'s details last updated?
The information pertaining to the Gary Fowler Crow Sr., including its address, specialty, and other details, was most recently updated on 2007-07-08.