Individual provider · Type 1 NPI
Micah Crowley, DMD
Periodontics · Corona Del Mar, CA
NPI number
1386059772
Active
Practice location
505 1/2 Carnation Ave
Corona Del Mar, CA 92625-2046
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist | 122300000X | DS039876 (PA) |
| Periodontics Primary | 1223P0300X | DDS107031 (CA) |
Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
About NPI 1386059772
Micah Crowley, DMD's National Provider Identifier is 1386059772, issued on Jun 24, 2014. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Corona Del Mar, CA. The record was last updated on Oct 26, 2021.