Individual
DR. JOHN A CROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
97 BLAKELY RD, SUITE 104, COLCHESTER, VT 05446-4008
(802) 862-8266
Mailing address
1017 CHEESEFACTORY RD, SHELBURNE, VT 05482-7177
(802) 985-8170
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
839
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
839
DENTAL LICENSE NUMBER
VT
Enumeration date
06/28/2006
Last updated
07/08/2007
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