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ROBERT D CROUCH DDS
General Practice >> Dentist >> Dental ProvidersRegistrant NPI Number: 1013992130
Individual Registrant: ROBERT D CROUCH DDS
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
117 W PENNSYLVANIA AVE BESSEMER CITY, NC 28016-2635 US
Tel: 704-629-5761 Fax: 704-629-2566
Tel: 704-629-5761 Fax: 704-629-2566
Contact information for business:
PO BOX 458 BESSEMER CITY, NC 28016-0458 US
Tel: 704-629-5761 Fax: 704-629-2566
Tel: 704-629-5761 Fax: 704-629-2566
Registration Information:
NPI: 1013992130
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 1223G0001X | Dental Providers Dentist General Practice | NC | 4626 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
