IndividualActive
Andrew Crowell
NPI 1184246647 · Pediatric Dentistry · Sun Prairie, WI
Provider details
- NPI number
- 1184246647
- Entity type
- Individual
- Primary specialty
- Pediatric DentistryDental Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 0401417811 (VA)
Specialties & taxonomies
Dental Providers
Dental Providers
Student, Health Care
Practice location
250 N City Station Dr
Sun Prairie, WI 53590-4718
Phone: (651) 247-3086
Approximate (ZIP-level) locationGet directions
Mailing address
250 N City Station Dr
Sun Prairie, WI 53590-4718
Registry dates
- Enumerated
- 2020-05-07
- Last updated
- 2023-08-15
- Certified
- 2023-08-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.