Crouch, Timothy
Crouch, Timothy is an sole proprietor health care provider with primary practice located at 511 Brookdale Dr , Statesville NC 28677-4107. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Crouch, Timothy can be contacted via phone (704) 873-9641.Contact Information
Primary practice address
511 Brookdale Dr
Statesville NC 28677-4107
Phone: (704) 873-9641
Fax: (704) 873-1544
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 9395 | North Carolina |
Profile Details
| NPI number | 1689924367 |
|---|---|
| LBN Legal business name | Crouch, Timothy |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 11th, 2012 |
| Last updated | Sep 11th, 2012 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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