Provider Demographics
NPI:1982247953
Name:BENJAMIN CROWLEY, DDS PC
Entity type:Organization
Organization Name:BENJAMIN CROWLEY, DDS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:BENJAMIN
Authorized Official - Middle Name:
Authorized Official - Last Name:CROWLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-266-4989
Mailing Address - Street 1:6808 STONEMAN RD
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23228-2744
Mailing Address - Country:US
Mailing Address - Phone:804-266-4989
Mailing Address - Fax:804-262-5071
Practice Address - Street 1:6808 STONEMAN RD
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23228-2744
Practice Address - Country:US
Practice Address - Phone:804-266-4989
Practice Address - Fax:804-262-5071
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CENTRAL VIRGINIA DENTAL CARE PLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-10-23
Last Update Date:2019-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty