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NPI Code Detail

MEDICARE: HAROLD CROSBY DMD

MEDICARE: HAROLD CROSBY DMD
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 Dentistry2433ME

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12433OTHERMELICENSE

General Provider Information

NPI Number : 1871524637
Entity Type Code : Individual
Provider Name (Legal Business Name) : HAROLD CROSBY DMD
Provider Business Mailing Address
First Line : 43 S LUBEC RD
Second Line :
City : LUBEC
State : ME
Zip : 04652-3620
Country : US
Telephone Number : 207-733-5541
Fax Number : 207-733-2127
Provider Business Practice Location Address
First Line : 43 S LUBEC RD
Second Line :
City : LUBEC
State : ME
Zip : 04652-3620
Country : US
Telephone Number : 207-733-5541
Fax Number : 207-733-2127
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/06/2006
Last Update Date : 07/09/2007

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