Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0221X | Pediatric Dentist | 2843 | TN |
NPI | 1073526950 |
---|---|
Provider Name | Dr. James David Crossley |
First Address | Morristown, TN 37814-4550 |
Second Address | Morristown, TN 37814-4550 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/08/2006 |
Last Update Date | 08/07/2007 |