# CROSSROADS DSM LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215406053
- **Authorized official:** DR. CLAYTON THOMAS CRAIG DDS, MS (CEO)
- **Authorized official phone:** (765) 335-6694

## Contact information

- **Practice address:** 3750 GUION RD STE 280, INDIANAPOLIS, IN 46222-1696
- **Practice address phone:** (765) 335-6694
- **Mailing address:** 3750 GUION RD STE 280, INDIANAPOLIS, IN 46222-1696
- **Mailing address phone:** (765) 336-6694

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | — | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | — | — |

## Other

- **Enumeration date:** 11/23/2018
- **Last updated:** 11/23/2018