Provider Demographics
NPI:1235972068
Name:CROWE, ANNA FOSTER (DMD)
Entity type:Individual
Prefix:DR
First Name:ANNA
Middle Name:FOSTER
Last Name:CROWE
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 COMMONS BLVD
Mailing Address - Street 2:
Mailing Address - City:SENECA
Mailing Address - State:SC
Mailing Address - Zip Code:29678-2666
Mailing Address - Country:US
Mailing Address - Phone:864-280-3739
Mailing Address - Fax:
Practice Address - Street 1:16 COMMONS BLVD
Practice Address - Street 2:
Practice Address - City:SENECA
Practice Address - State:SC
Practice Address - Zip Code:29678-2666
Practice Address - Country:US
Practice Address - Phone:864-280-3739
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-18
Last Update Date:2024-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCDGD.10841122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist