Provider Demographics
NPI:1154214294
Name:CROW, ABIGAIL LEE (DDS)
Entity type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:LEE
Last Name:CROW
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:ABBY
Other - Middle Name:LEE
Other - Last Name:WALKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:2011 N VAN BUREN ST STE 130
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72207-4739
Mailing Address - Country:US
Mailing Address - Phone:501-666-1188
Mailing Address - Fax:
Practice Address - Street 1:2011 N VAN BUREN ST STE 130
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72207-4739
Practice Address - Country:US
Practice Address - Phone:501-666-1188
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-29
Last Update Date:2025-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR4846122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist