| Crosscreek Family Dentistry | |
|
523 Nc Highway 125 Roanoke Rapids NC 27870-6447 | |
| (252) 533-9300 | |
| Not Available |
| Full Name | Crosscreek Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 523 Nc Highway 125, Roanoke Rapids, North Carolina |
| Authorized Official Name and Position | Brian Lanier Maynor (DENTIST) |
| Authorized Official Contact | 2525339300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crosscreek Family Dentistry 523 Nc Highway 125 Roanoke Rapids NC 27870-6447 Ph: (252) 533-9300 | Crosscreek Family Dentistry 523 Nc Highway 125 Roanoke Rapids NC 27870-6447 Ph: (252) 533-9300 |
| NPI Number | 1194212456 |
|---|---|
| Provider Enumeration Date | 04/21/2018 |
| Last Update Date | 04/21/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194212456 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 10438 (North Carolina) | Primary |
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