Provider Demographics
NPI:1215040670
Name:CROWLEY, KAREN E (DDS)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:E
Last Name:CROWLEY
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 PARMENTER RD
Mailing Address - Street 2:UNIT A2
Mailing Address - City:LONDONDERRY
Mailing Address - State:NH
Mailing Address - Zip Code:03053-3280
Mailing Address - Country:US
Mailing Address - Phone:603-437-7600
Mailing Address - Fax:603-437-8076
Practice Address - Street 1:12 PARMENTER RD
Practice Address - Street 2:UNIT A2
Practice Address - City:LONDONDERRY
Practice Address - State:NH
Practice Address - Zip Code:03053-3280
Practice Address - Country:US
Practice Address - Phone:603-437-7600
Practice Address - Fax:603-437-8076
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
NH30521223S0112X
MA143681223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
T57552Medicare UPIN
NHRE7224Medicare ID - Type Unspecified