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NPI Code Detail

MEDICARE: JOSHUA CROSSLEY, DDS, PLLC

MEDICARE: JOSHUA CROSSLEY, DDS, PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11831757624OTHERTYPE 1 NPI

General Provider Information

NPI Number : 1235835190
Entity Type Code : Organization
Provider Name (Legal Business Name) : JOSHUA CROSSLEY, DDS, PLLC
Provider Business Mailing Address
First Line : 500 N FINANCIAL TER STE D
Second Line :
City : MUSTANG
State : OK
Zip : 73064-4432
Country : US
Telephone Number : 405-376-2072
Fax Number :
Provider Business Practice Location Address
First Line : 500 N FINANCIAL TER STE D
Second Line :
City : MUSTANG
State : OK
Zip : 73064-4432
Country : US
Telephone Number : 405-376-2072
Fax Number :
Authorized Official
Title or Position : OWNER DENTIST
Name : DR. JOSHUA STARR CROSSLEY
Credential : DDS
Telephone Number : 405-376-2072
Provider Enumeration Date : 02/02/2023
Last Update Date : 02/02/2023

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Directions to “JOSHUA CROSSLEY, DDS, PLLC ” Practice Location

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