Healthcare Provider Details

I. General information

NPI: 1780516138
Provider Name (Legal Business Name): WILLIAM ALEXANDER CROW DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/01/2026
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30 E 700 S
BRIGHAM CITY UT
84302-3235
US

IV. Provider business mailing address

637 E 950 S APT 33
BRIGHAM CITY UT
84302-4346
US

V. Phone/Fax

Practice location:
  • Phone: 435-734-2248
  • Fax: 435-734-2248
Mailing address:
  • Phone: 435-734-2248
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number142893739926
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: