Provider Demographics
NPI:1093829376
Name:CROWLEY, REGINA L (DDS)
Entity Type:Individual
Prefix:DR
First Name:REGINA
Middle Name:L
Last Name:CROWLEY
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:REGINA
Other - Middle Name:D
Other - Last Name:ARMSTRONG
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DDS
Mailing Address - Street 1:35 REGENCY WAY
Mailing Address - Street 2:#35
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89509-3446
Mailing Address - Country:US
Mailing Address - Phone:775-829-9929
Mailing Address - Fax:775-829-0267
Practice Address - Street 1:35 REGENCY WAY
Practice Address - Street 2:#35
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89509-3446
Practice Address - Country:US
Practice Address - Phone:775-829-9929
Practice Address - Fax:775-829-0267
Is Sole Proprietor?:No
Enumeration Date:2006-08-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV2211122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist