Provider Demographics
NPI:1932374576
Name:CREWS, CINDY MARIE (DDS)
Entity Type:Individual
Prefix:
First Name:CINDY
Middle Name:MARIE
Last Name:CREWS
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 1:1314 CONSTANTINOPLE STREET
Mailing Address - Street 2:
Mailing Address - City:CASTROVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78009
Mailing Address - Country:US
Mailing Address - Phone:830-538-2236
Mailing Address - Fax:830-538-9370
Practice Address - Street 1:1314 CONSTANTINOPLE STREET
Practice Address - Street 2:
Practice Address - City:CASTROVILLE
Practice Address - State:TX
Practice Address - Zip Code:78009
Practice Address - Country:US
Practice Address - Phone:830-538-2236
Practice Address - Fax:830-538-9370
Is Sole Proprietor?:No
Enumeration Date:2008-04-24
Last Update Date:2018-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXTX28448122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist