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Contact Information

SAMUEL R CROSS
401 DOCTOR'S CIRCLE
ELIZABETHTOWN, NC28337
 Phone: 910-862-2892
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for SAMUEL R CROSS · (Male)

NPI Number 1174700967
Status Active
Credentials
Entity Individual
Enumeration date 01/24/2008
Last updated 01/24/2008 - About 18 years ago
Sole proprietor 1 Yes
Identifiers
  • NC License # 4625
  • NC Medicaid 8991904
  • NC Other 91904 BCBS
  • NC Other U37843 UPIN
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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