Healthcare Provider Details

I. General information

NPI: 1467322016
Provider Name (Legal Business Name): CROSSTHODONTICS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/10/2025
Last Update Date: 11/10/2025
Certification Date: 11/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6230 OLD DOBBIN LN STE 240
COLUMBIA MD
21045-5981
US

IV. Provider business mailing address

6230 OLD DOBBIN LN STE 240
COLUMBIA MD
21045-5981
US

V. Phone/Fax

Practice location:
  • Phone: 667-421-8300
  • Fax: 667-421-8310
Mailing address:
  • Phone: 667-421-8300
  • Fax: 667-421-8310

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0700X
TaxonomyProsthodontics
License Number
License Number State

VIII. Authorized Official

Name: DR. STEPHEN CROSS
Title or Position: OWNER
Credential: DDS
Phone: 667-421-8300