Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MICAH CROWLEY, D.M.D.
ActiveDR. MICAH CROWLEY, D.M.D. is a Periodontology healthcare provider located in CORONA DEL MAR, California. NPI 1386059772 is currently active in the NPPES registry. Verify at CMS.
Periodontology · CORONA DEL MAR, CA
Registration Details
- NPI Number
- 1386059772
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 24, 2014 (12.146539158115 yrs)
- Last Updated
- Oct 26, 2021
- Licenses
-
DS039876 (PA)DDS107031 (CA)
Practice Information
- Address
-
505 1/2 CARNATION AVECORONA DEL MAR, CA, 926252046Browse CA providers · Browse ZIP 92625
- Phone
- 4064596140
- Primary Specialty
-
Periodontology
1223P0300X
- Additional Specialty
- Periodontology
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.