Organization
DR. TIMOTHY A. CROUCH DMD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY ALLEN CROUCH DMD (DOCTOR)
(704) 873-9641
Entity
Organization
Contact information
Practice address
511 BROOKDALE DR, STATESVILLE, NC 28677-4107
(704) 873-9641
(704) 873-1544
Mailing address
511 BROOKDALE DR, STATESVILLE, NC 28677-4107
(704) 873-9641
(704) 873-1544
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9395
NC
Other
Enumeration date
10/02/2012
Last updated
10/02/2012
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