person
Mr. Keith Allen Crouch, DDS
General Practice Dentistry in Statesville, North Carolina
NPI 1164508743

Keith Allen Crouch is a General Practice Dentistry based in Statesville, NC and is specialized in General Practice. Keith Allen Crouch practices in Statesville, NC and has the professional credentials of DDS. The NPI Number for Keith Allen Crouch is 1164508743 and holds a License No. 5075 (North Carolina).

The current practice location address for Keith Allen Crouch is 511 Brookdale Drive, Statesville, NC and can be reached out via phone at 704-873-9641 and via fax at 704-873-1544. You can also correspond with Keith Allen Crouch through the mailing address at 511 BROOKDALE DRIVE, STATESVILLE, NC - 28677-4107 (mailing address contact number: 704-873-9641).

Location: 511 Brookdale Drive, Statesville, NC, 28677-4107
person
Provider Profile Details
NPI Number
1164508743
Provider Name
Keith Allen Crouch
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
511 Brookdale Drive, Statesville, NC, 28677-4107
Phone Number
704-873-9641
Fax Number
704-873-1544
Provider Enumeration Date
10/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8991922 05 NC
institution
Provider Business Practice Location Address Details
Address
511 Brookdale Drive
City
State
Zip
28677-4107
Phone Number
704-873-9641
Fax Number
704-873-1544
person
Provider Business Mailing Address Details
Address
511 Brookdale Drive
City
State
Zip
28677-4107
Phone Number
704-873-9641
Fax Number
704-873-1544
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
License No.
5075 (North Carolina)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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