Provider Demographics
NPI:1437889714
Name:CROWELL, HANNAH ROSE (DDS)
Entity Type:Individual
Prefix:
First Name:HANNAH
Middle Name:ROSE
Last Name:CROWELL
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:HANNAH
Other - Middle Name:ROSE
Other - Last Name:COTTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2630 BISSONNET ST APT 3143
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77005-1365
Mailing Address - Country:US
Mailing Address - Phone:216-386-2165
Mailing Address - Fax:
Practice Address - Street 1:3333 TELEPHONE RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77023-5401
Practice Address - Country:US
Practice Address - Phone:713-900-2400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-10
Last Update Date:2022-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX384441223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice