Keith Allen Crouch DDS

NPI 1164508743 - Dentist - 1223G0001X

NPI Details
NPI 1164508743
Gender Male
Enumeration Date 10/27/2006
Last Updated 02/14/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
511 BROOKDALE DRIVE
STATESVILLE NC, 28677-4107, US
Phone (704) 873-9641
Fax (704) 873-1544
Business Location
511 BROOKDALE DRIVE
STATESVILLE NC, 28677-4107, US
Phone (704) 873-9641
Fax (704) 873-1544
Toxanomy
Taxonomy Code 1223G0001X
License State North Carolina
License Number 5075
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According to our database, Mr. Keith Allen Crouch DDS NPI is 1164508743, taxonomy code is 1223G0001X and license number is 5075, license state is located at North Carolina. Keith Allen Crouch DDS physically located at 511 Brookdale Drive, Statesville NC, 28677-4107. NPI Number Keith Allen Crouch DDS has the Individual type.

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1164508743 NPI number is provided on an as is basis without warranty of any kind. 1164508743 is maintained by the National Plan & Provider Enumeration System. The contents of Keith Allen Crouch DDS are for informational purposes only.