Provider Demographics
NPI:1588229405
Name:CROWE, JOYCE MARIE (DDS)
Entity Type:Individual
Prefix:
First Name:JOYCE
Middle Name:MARIE
Last Name:CROWE
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 1:1302 MOONKIST CT
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45230-1355
Mailing Address - Country:US
Mailing Address - Phone:419-707-1465
Mailing Address - Fax:
Practice Address - Street 1:2767 ERIE AVE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45208-2204
Practice Address - Country:US
Practice Address - Phone:513-802-9440
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-06
Last Update Date:2019-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30.0257261223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice