| Roddie a Crouch DDS PC | |
|
2125 Post Oak Tritt Road Marietta GA 30062-1609 | |
| (770) 977-9090 | |
| (770) 578-8289 |
| Full Name | Roddie a Crouch DDS PC |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2125 Post Oak Tritt Road, Marietta, Georgia |
| Authorized Official Name and Position | Roddie Amos Crouch (PRESIDENT OWNER) |
| Authorized Official Contact | 7709779090 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Roddie a Crouch DDS PC 2125 Post Oak Tritt Road Marietta GA 30062-1609 Ph: (770) 977-9090 | Roddie a Crouch DDS PC 2125 Post Oak Tritt Road Marietta GA 30062-1609 Ph: (770) 977-9090 |
| NPI Number | 1083805386 |
|---|---|
| Provider Enumeration Date | 08/05/2007 |
| Last Update Date | 08/05/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083805386 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 8484 (Georgia) | Primary |
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