Provider Demographics
NPI:1356408157
Name:CROWLEY, FRANCIS BERNARD III (DMD)
Entity type:Individual
Prefix:
First Name:FRANCIS
Middle Name:BERNARD
Last Name:CROWLEY
Suffix:III
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 1:23 WATER ST
Mailing Address - Street 2:
Mailing Address - City:LEOMINSTER
Mailing Address - State:MA
Mailing Address - Zip Code:01453-3216
Mailing Address - Country:US
Mailing Address - Phone:978-534-4981
Mailing Address - Fax:978-534-5934
Practice Address - Street 1:23 WATER ST
Practice Address - Street 2:
Practice Address - City:LEOMINSTER
Practice Address - State:MA
Practice Address - Zip Code:01453-3216
Practice Address - Country:US
Practice Address - Phone:978-534-4981
Practice Address - Fax:978-534-5934
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA139181223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice