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Dr. Timothy Crouch, DMD

Dentist, General Practice in Statesville, NC. Individual provider (NPI-1).

NPI number1689924367
StatusActive
Last updated in NPPESSep 11, 2012

Details

NPI
1689924367
Entity type
Individual (NPI-1)
Name
Dr. Timothy Crouch
Credential
DMD
Sex
Male
Sole proprietor
Yes
Enumeration date
Sep 11, 2012
Last updated
Sep 11, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice9395NCYes

Practice location

511 Brookdale Dr
Statesville, NC 28677-4107

Phone 704-873-9641 · Fax 704-873-1544

Mailing address

511 Brookdale Dr
Statesville, NC 28677-4107

Phone 704-873-9641 · Fax 704-873-1544

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