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SAMUEL RAY CROSS DDS PA NPI 1467566018


NPI Information

NPI: 1467566018
Provider Name: SAMUEL RAY CROSS DDS PA
Classification: Dentist - 122300000X
Entity Type: Organization
Address:
401 DOCTORS CIRCLE
ELIZABETHTOWN, NC
ZIP 28337
Phone: (910) 862-2892
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SAMUEL RAY CROSS DDS PA is a dentist in Elizabethtown, NC. The provider is a dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. SAMUEL RAY CROSS DDS PA NPI is 1467566018. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

401 DOCTORS CIRCLE
ELIZABETHTOWN, NC
ZIP 28337
Phone: (910) 862-2892
Fax: (910) 862-6345

The provider's authorized official is Samuel Ray Cross .
The authorized official title is President and has the following contact phone number (910) 862-2892.

The enumeration date for this NPI number is 8/19/2006 and was last updated on 4/26/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1122300000XDentist4625NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1U37843MEDICARE UPIN
28991904MEDICAIDNORTH CAROLINA
391904OTHERNORTH CAROLINABCBS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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