Provider Demographics
NPI:1710038310
Name:CROWSON, STEVEN C (DMD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:C
Last Name:CROWSON
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1206 ESPLANADE
Mailing Address - Street 2:
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95926-3329
Mailing Address - Country:US
Mailing Address - Phone:530-891-8951
Mailing Address - Fax:530-891-6890
Practice Address - Street 1:1206 ESPLANADE
Practice Address - Street 2:
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95926-3329
Practice Address - Country:US
Practice Address - Phone:530-891-8951
Practice Address - Fax:530-891-6890
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA317691223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice