Provider Demographics
NPI:1346324373
Name:CROW, ADAM W (DDS)
Entity type:Individual
Prefix:DR
First Name:ADAM
Middle Name:W
Last Name:CROW
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 1:741 PRESIDENT PL STE 120
Mailing Address - Street 2:
Mailing Address - City:SMYRNA
Mailing Address - State:TN
Mailing Address - Zip Code:37167-6808
Mailing Address - Country:US
Mailing Address - Phone:615-220-6990
Mailing Address - Fax:615-220-6119
Practice Address - Street 1:741 PRESIDENT PL STE 120
Practice Address - Street 2:
Practice Address - City:SMYRNA
Practice Address - State:TN
Practice Address - Zip Code:37167-6808
Practice Address - Country:US
Practice Address - Phone:615-220-6990
Practice Address - Fax:615-220-6119
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-25
Last Update Date:2007-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN82611223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice