Individual
DR. JORY TYLER CROUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2916 W STOLLEY PARK RD STE A, GRAND ISLAND, NE 68801-6808
(308) 382-1734
Mailing address
13016 ELLISON AVE, OMAHA, NE 68164-1641
(308) 380-7622
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7554
NE
Other
Enumeration date
06/08/2019
Last updated
06/08/2019
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