Individual
DR. RICHARD M CROUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS MS
Contact information
Practice address
3518 TEAYS VALLEY RD, HURRICANE, WV 25526
(304) 562-1000
(304) 562-0777
Mailing address
3518 TEAYS VALLEY RD, HURRICANE, WV 25526
(304) 562-1000
(304) 562-0777
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
WV3374
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7900009000
—
WV
Enumeration date
09/21/2006
Last updated
02/04/2013
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