| Dr. Keith A. Crouch Dds Pa | |
|
511 Brookdale Dr Statesville NC 28677-4107 | |
| (704) 873-9641 | |
| (704) 873-1544 |
| Full Name | Dr. Keith A. Crouch Dds Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 511 Brookdale Dr, Statesville, North Carolina |
| Authorized Official Name and Position | Keith A. Crouch (PRESIDENT) |
| Authorized Official Contact | 7048739641 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Keith A. Crouch Dds Pa 511 Brookdale Dr Statesville NC 28677-4107 Ph: (704) 873-9641 | Dr. Keith A. Crouch Dds Pa 511 Brookdale Dr Statesville NC 28677-4107 Ph: (704) 873-9641 |
| NPI Number | 1518217975 |
|---|---|
| Provider Enumeration Date | 09/13/2012 |
| Last Update Date | 09/13/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518217975 | NPI | - | NPPES |
| 8991922 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5075 (North Carolina) | Primary |
Phillip D. Beaver, Dds, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1209 Davie Ave, Statesville, NC 28677 Phone: 704-872-8934 | |
Youngchi Chang Dds Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 964 Glenway Ave Ste A, Statesville, NC 28625 Phone: 704-252-5793 | |
Randall S Perry Dds Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1132 Davie Ave, Statesville, NC 28677 Phone: 704-881-0990 Fax: 704-872-8541 | |
George R. Rankin Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 734 Hartness Rd, Statesville, NC 28677 Phone: 704-872-6534 Fax: 704-872-9407 | |
Gary N Gaither Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 131 North Mulberry Street, Statesville, NC 28677 Phone: 704-873-8465 | |
Orbie E Ottey Jr Dds Professional Corporation Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 964 Glenway Dr. Ste A, Statesville, NC 28625 Phone: 704-252-5793 | |
Robert Scott Nance, Dds, Ms, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1701 Davie Ave, Statesville, NC 28677 Phone: 704-924-7650 Fax: 704-924-7178 |