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General NPI Number Information
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NPI Number | 1487705208
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Entity Type | Organization
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Legal Business Name | JODY L. CROWL, D.D.S.
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Dates
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Enumeration Date | 01/16/2007
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Last Update Date | 07/30/2025
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Provider Practice Location Address
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Address Line | 113 W MAIN ST
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City | LAUREL
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State | MT
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Zip | 59044-3106
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Country | US
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Telephone | 406-628-8741
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Fax | 406-628-8741
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Provider Business Mailing Address
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Address Line | PO BOX 338
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City | LAUREL
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State | MT
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Zip | 59044-0338
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Country | US
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Telephone | 406-628-8741
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Fax | 406-628-8741
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Authorized Official
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Title or Position | OWNER
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Name | JODY LYNN CROWL
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Credential | DDS
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Telephone | 406-628-8741
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 1965
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License Number State | MT
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