Crouch, David L
Crouch, David L is an individual health care provider with primary practice located at 8012 112Th Street Ct E , Puyallup WA 98373-7856. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Crouch, David L can be contacted via phone (253) 848-9591.Contact Information
Primary practice address
8012 112Th Street Ct E
Puyallup WA 98373-7856
Phone: (253) 848-9591
Fax: (253) 848-3777
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | DE00005165 | Washington |
Profile Details
| NPI number | 1285684795 |
|---|---|
| LBN Legal business name | Crouch, David L |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 12th, 2006 |
| Last updated | Jul 9th, 2007 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285684795 | NPPES |
| Washington | MEDICAID | 5094206 |
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