Individual
DR. JAY ALAN CROSSLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3415 5TH ST, RAPID CITY, SD 57701-7365
(605) 348-6818
(605) 348-4690
Mailing address
3415 5TH ST, RAPID CITY, SD 57701-7365
(605) 348-6818
(605) 348-4690
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
D0621
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8000500
—
SD
Enumeration date
05/20/2006
Last updated
11/27/2007
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