Cross, Douglas William

Cross, Douglas William is an individual health care provider with primary practice located at 1300 Perdido St Rm 8W03B-Dental, New Orleans LA 70112-2125. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Cross, Douglas William can be contacted via phone (504) 658-2581.

Contact Information

Primary practice address
1300 Perdido St Rm 8W03B-Dental New Orleans LA 70112-2125
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 3668 Louisiana
Dental Providers / Dentist 122300000X 23078 Texas

Profile Details

NPI number 1619142486
LBN Legal business name Cross, Douglas William
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 23rd, 2008
Last updated Apr 23rd, 2008 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1619142486 NPPES
Louisiana MEDICAID 1836681

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