Individual
DR. JENNIFER CROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3515 SYCAMORE SCHOOL RD STE 125, FORT WORTH, TX 76133-7827
(817) 240-2543
Mailing address
3515 SYCAMORE SCHOOL RD STE 125-PMB 357, FORT WORTH, TX 76133-7827
(817) 240-2543
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
TX
1223D0004X
Dental Anesthesiology
Primary
30809
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3486441-02
—
TX
05
—
348644101
—
TX
Enumeration date
06/09/2012
Last updated
07/21/2022
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