Cross, Jennifer

Cross, Jennifer is an sole proprietor health care provider with primary practice located at 3515 Sycamore School Rd Ste 125 , Fort Worth TX 76133-7827. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist Anesthesiologist, Dental Providers / Dentist. Dental Providers / Dentist Anesthesiologist is her primary health care specialty. Cross, Jennifer can be contacted via phone (817) 240-2543.

Contact Information

Primary practice address
3515 Sycamore School Rd Ste 125 Fort Worth TX 76133-7827
Phone: (817) 240-2543
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist Anesthesiologist 1223D0004X 30809 Texas
Dental Providers / Dentist 122300000X Texas

Profile Details

NPI number 1902168602
LBN Legal business name Cross, Jennifer
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 9th, 2012
Last updated Jul 21st, 2022 - about 2 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 1902168602 NPPES
Texas MEDICAID 348644101
Texas MEDICAID 3486441-02

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