DR. JOHN WALTON CROWDER (NPI# 1497732861) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1497732861 |
Entity Type | Individual |
Full Name | DR. JOHN WALTON CROWDER |
Credential | D.D.S. |
Practice Address |
39 Murray Guard Dr Jackson TN 38305-3610 |
Practice Telephone | 7316607799 |
Mailing Telephone | 7316607799 |
Enumeration Date | 2005-12-28 |
Last Update Date | 2016-08-05 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
DDS 4312 | TN | Dental Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023227428 | John Randall Crowder | Dentist | 2623 Hwy 70 East, Crossville, TN 38555 | 2007-05-22 |
1144310616 | John Preston Crowder IIi | Pharmacist | 1302 Lee Street, West Point, VA 23181-1463 | 2006-10-13 |
1427465558 | John Crowder | Community Health Worker | 237 Race St, San Jose, CA 95126-4823 | 2014-07-21 |
1215021480 | John V Crowder Jr. | Ophthalmology | 160 Green Valley Rd, Suite 202, Freedom, CA 95019-3160 | 2006-10-03 |
Street Address |
39 MURRAY GUARD DR |
City | JACKSON |
State | TN |
Zip Code | 38305-3610 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710991302 | Todd Alan Welch | Dentist | 39 Murray Guard Dr, Jackson, TN 38305-3610 | 2006-07-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427656818 | Kimaya Jelks | Specialist | 1869 45 Hwy Bypass, Suite 2b, Jackson, TN 38305 | 2020-10-16 |
1821600578 | Maame Obeng | Pharmacist | 3144 North Highland Avenue, Jackson, TN 38305 | 2020-08-22 |
1700361904 | James Cowie | Psychologist | 156c West University Pkwy, Jackson, TN 38305 | 2018-10-03 |
1700372109 | Chad Zawacki | Physician Assistant | 147 North Star Drive, Jackson, TN 38305 | 2018-07-09 |
1104323070 | Golden Years Adult Day Care | Clinic/Center | 155 Carriage Dr Suite A, Jackson, TN 38305 | 2018-04-09 |
1245754563 | Tanika Annette Gillard | Massage Therapist | 4 Hampton Ln, Jackson, TN 38305 | 2017-07-28 |
1316488117 | Lakisha T Ingram | Counselor | 168 Greencastle Dr, Jackson, TN 38305 | 2017-03-13 |
1619421567 | D & L Wellness Inc | Community/Behavioral Health | 154 Carriage House Dr., Jackson, TN 38305 | 2016-08-09 |
1649637638 | Advance Choice Home Care LLC | In Home Supportive Care | 1028 Ashport Rd., Jackson, TN 38305 | 2016-01-21 |
1942666151 | Neurohealth Solutions Inc. | Clinic/Center | 174 Murray Guard Dr. Suite E, Jackson, TN 38305 | 2016-01-05 |
Find all providers in zip 38305 |
Taxonomy Code | 1223S0112X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Oral and Maxillofacial Surgery |
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639792450 | Dr Riley PC | Dentist | 1325 S Hwy 89 Apt 105, Jackson, WY 83001-8293 | 2020-05-27 |
1740776202 | Teton Oral and Maxillofacial Surgery | Dentist | 1160 Alpine Ln Ste 1d, Jackson, WY 83001 | 2018-07-09 |
1083852149 | Michael Stern | Dentist | 1160 Alpine Ln, Suite 1d, Jackson, WY 83001 | 2009-01-28 |
1144481961 | Nathan James Ostler | Dentist | 688 Brewers Bridge Rd, Jackson, NJ 08527-2017 | 2008-06-24 |
1437370988 | Kyle Tanner Hunt | Dentist | 971 Lakeland Dr Ste 952, Jackson, MS 39216-4609 | 2007-05-01 |
1215009980 | Rodney Arnell Hunt | Dentist | 971 Lakeland Dr Ste 600, Jackson, MS 39216-4608 | 2006-11-15 |
1225123078 | Cynthia A Rider | Dentist | 2545 Spring Arbor Rd., Suite 202, Jackson, MI 49203 | 2006-10-04 |
1609960749 | Maxillofacial Surgery Center of Central Mississippi | Dentist | 266 Katherine Dr, Jackson, MS 39232-8801 | 2006-10-03 |
1134224116 | Jerry B Booth | Dentist | 683 Robinson Rd, Jackson, MI 49203-1155 | 2006-09-14 |
1164430971 | Teton Oral & Maxillofacial Surgery | Dentist | 1160 Alpine Lane, #1d, Jackson, WY 83002 | 2006-08-04 |
Find all providers in JACKSON |
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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.