Provider Demographics
NPI:1770666786
Name:CROWNS NOW DENTISTRY
Entity Type:Organization
Organization Name:CROWNS NOW DENTISTRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:R
Authorized Official - Last Name:MORRIS
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:864-476-8315
Mailing Address - Street 1:1639 WOODRUFF RD
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29607-5930
Mailing Address - Country:US
Mailing Address - Phone:864-297-7232
Mailing Address - Fax:864-297-7195
Practice Address - Street 1:1639 WOODRUFF RD
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29607-5930
Practice Address - Country:US
Practice Address - Phone:864-297-7232
Practice Address - Fax:864-297-7195
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental