Healthcare Provider Details

I. General information

NPI: 1134816754
Provider Name (Legal Business Name): ELIZABETH CROWE DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/24/2023
Last Update Date: 10/02/2026
Certification Date: 04/24/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7556 TEAGUE RD STE 108
HANOVER MD
21076-1969
US

IV. Provider business mailing address

1904 ALICEANNA ST
BALTIMORE MD
21231-3013
US

V. Phone/Fax

Practice location:
  • Phone: 410-799-8220
  • Fax:
Mailing address:
  • Phone: 443-926-4293
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number18786
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: