Provider Demographics
NPI:1801005129
Name:CROWE, DAVID T (DDS)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:T
Last Name:CROWE
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:457 LANDA ST
Mailing Address - Street 2:STE D
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78130-5417
Mailing Address - Country:US
Mailing Address - Phone:830-625-3818
Mailing Address - Fax:830-625-0892
Practice Address - Street 1:457 LANDA ST
Practice Address - Street 2:STE D
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78130-5417
Practice Address - Country:US
Practice Address - Phone:830-625-3818
Practice Address - Fax:830-625-0892
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-22
Last Update Date:2012-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX128151223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice