Organization
JOHN E. CROSLAND DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN EVERETT CROSLAND DDS (PROPRIETOR)
(704) 484-0148
Entity
Organization
Contact information
Practice address
901 N LAFAYETTE ST, SUITE A, SHELBY, NC 28150-3832
(704) 484-0148
(704) 484-0148
Mailing address
901-A NORTH LAFAYETTE ST., SHELBY, NC 28150
(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
—
1245313600
INDIVIDUAL NPI ENUMERATOR
—
01
—
91901
BCBS
NC
Enumeration date
05/24/2007
Last updated
06/21/2018
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