Individual
DR. JOHN EVERETT CROSLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
901 N LAFAYETTE ST, SUITE A, SHELBY, NC 28150-3832
(704) 484-0148
(704) 484-0148
Mailing address
901 N LAFAYETTE ST, SUITE A, SHELBY, NC 28150-3832
(704) 484-0148
(704) 484-0148
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
NC4891
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
91901
BLUE CROSS BLUE SHIELD
NC
Enumeration date
10/21/2006
Last updated
07/08/2007
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