DR. JERRY MARVIN CROWE JR. (NPI# 1316093396) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316093396 |
| Entity Type | Individual |
| Full Name | DR. JERRY MARVIN CROWE JR. |
| Credential | DDS |
| Practice Address |
1109 N Eastman Rd Kingsport TN 37664-3156 |
| Practice Telephone | 4232459071 |
| Practice Fax Number | 4232459474 |
| Mailing Telephone | 4232459071 |
| Mailing Fax Number | 4232459474 |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DS004037 | TN | Dental Providers |
| Street Address |
1109 N EASTMAN RD |
| City | KINGSPORT |
| State | TN |
| Zip Code | 37664-3156 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972067395 | Alice Victoria Lilly | Nurse Practitioner | 2995 Ft. Henry Drive, Suite 100, Kingsport, TN 37664 | 2019-01-30 |
| 1861966525 | Catherine Ann Hensley | Nurse Practitioner | 2995 Fort Henry Drive, Suite 100, Kingsport, TN 37664 | 2019-01-16 |
| 1679076954 | Christopher A Hillman | Dentist | 1599 Fort Henry Dr Ste 102, Kingsport, TN 37664 | 2018-03-13 |
| 1154666733 | Cristin Patterson | Counselor | 2762 East Center St., Kingsport, TN 37664 | 2012-12-07 |
| 1972851095 | Kevin Michael Smith | Pharmacist | 1425 East Center Street, Kingsport, TN 37664 | 2012-08-21 |
| 1619299617 | Kelli Lynn Dillon | Counselor | 1570 Waverly Rorad, Kingsport, TN 37664 | 2010-02-18 |
| 1356503726 | Charles Craig Stieler | Hearing Instrument Specialist | 2101 Ft Henry Dr, Kingsport, TN 37664 | 2008-06-27 |
| 1104012319 | Pro Balance LLC | Prosthetic/Orthotic Supplier | 2408 Fort Henry Drive, Kingsport, TN 37664 | 2007-09-20 |
| 1518188648 | Remington House | Assisted Living Facility | 640 Rock Springs Road, Kingsport, TN 37664 | 2007-05-02 |
| 1689795007 | Elaine Frazier | Emergency Medicine | 410 Golf Ridge Dr, Kingsport, TN 37664 | 2007-04-03 |
| Find all providers in zip 37664 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417516733 | Bradley Bishop Diminick | Dentist | 2975 Fort Henry Dr Ste A, Kingsport, TN 37664-4005 | 2019-06-10 |
| 1679076954 | Christopher A Hillman | Dentist | 1599 Fort Henry Dr Ste 102, Kingsport, TN 37664 | 2018-03-13 |
| 1619351251 | Brookstone Dental, Pllc | Dentist | 4260 Fort Henry Dr, Ste 13, Kingsport, TN 37663-2248 | 2015-07-14 |
| 1164709531 | Hagan Dentistry, P.l.l.c | Dentist | 150 Clinic Dr Ste A, Kingsport, TN 37663-2254 | 2011-11-13 |
| 1316100209 | Kendra Stanley Francis | Dentist | 1309 S John B Dennis Hwy, Suite 104, Kingsport, TN 37660-5445 | 2008-07-09 |
| 1831364827 | David Allan Guy | Dentist | 150 Clinic Dr Ste B, Kingsport, TN 37663-2254 | 2008-04-29 |
| 1306961487 | Timothy Ross Martin | Dentist | 1599 Fort Henry Drive, Kingsport, TN 37664 | 2007-03-20 |
| 1669504049 | John Everett Tanner | Dentist | 2701 Bloomingdale Rd, Kingsport, TN 37660-1854 | 2007-03-11 |
| 1417097999 | David Wendell Foulk | Dentist | 2300 Memorial Blvd, Kingsport, TN 37664-3341 | 2007-02-07 |
| 1033280631 | Rebecca Vestal | Dentist | 2105 E Center St, Suite D, Kingsport, TN 37664-2663 | 2006-11-13 |
| Find all providers in KINGSPORT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.