Kenneth Detlaf Cross in Benton - Dentist
Kenneth Detlaf Cross - NPI 1982717328
Kenneth Detlaf Cross is a Dentist in Benton, Pennsylvania. Kenneth Detlaf Cross practices all healthcare services and medical treatments related to Dentist. The NPI Number for Kenneth Detlaf Cross is 1982717328. The last update date is 2016-04-03.
Kenneth Detlaf Cross's current location address is Po Box 248, Benton, Pennsylvania. You can contact this provider via phone number 5709255011 and fax number 5709252943. The mailing address for Kenneth Detlaf Cross is Po Box 248, Benton, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth Detlaf Cross |
|---|---|
| Address | Po Box 248, Benton, Pennsylvania |
| Phone Number | 5709255011 |
| Fax Number | 5709252943 |
| Sole Proprietor | N |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1982717328 |
|---|---|
| Provider Enumeration Date | 2006-08-17 |
| Last Updated Date | 2016-04-03 |
Provider Mailing Address Detail
| Address | Po Box 248 |
|---|---|
| City | Benton |
| State | Pennsylvania (PA) |
| Post Code | 17814 |
| Phone Number | 5709255011 |
| Fax Number | 5709252943 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | DS026724L |
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Definition: 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: denti |
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What is the unique identification code assigned to Kenneth Detlaf Cross by the Centers for Medicare & Medicaid Services?
The Kenneth Detlaf Cross has been issued the NPI (National Provider Identifier) 1982717328. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Kenneth Detlaf Cross located?
The Kenneth Detlaf Cross is located at Po Box 248, Benton, PA 17814.
What is the area of specialization for Kenneth Detlaf Cross, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Kenneth Detlaf Cross is Dentist, and the corresponding taxonomy code that categorizes this area of expertise is 122300000X.
On what date was the 1982717328 assigned to Kenneth Detlaf Cross?
The Kenneth Detlaf Cross was issued its 1982717328 on 2006-08-17, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Kenneth Detlaf Cross most recently updated or revised?
The information pertaining to Kenneth Detlaf Cross, including its address, specialty, and other relevant details, was last updated or revised on 2016-04-03.