Roslyn M. Crisp Dd, Ms, PA
Dentist in Burlington, NC. Organization (NPI-2).
NPI number1881985398
StatusActive
Last updated in NPPESJun 8, 2023
Details
- NPI
- 1881985398
- Entity type
- Organization (NPI-2)
- Legal business name
- Roslyn M. Crisp Dd, Ms, PA
- Organization subpart
- No
- Enumeration date
- May 2, 2011
- Certification date
- Jun 8, 2023
- Last updated
- Jun 8, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 200001988472 | NC | Yes |
Practice location
1203 Vaughn RdBurlington, NC 27217-2846
Phone 336-228-8392 · Fax 336-227-0635
Mailing address
1203 Vaughn RdBurlington, NC 27217-2846
Phone 336-228-8392 · Fax 336-227-0635
Authorized official
Pete Moore
Business Office Manager
3365245439
Is something wrong?
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