Dr. John Max Crestetto
Oral and Maxillofacial Surgeon
901 N Winstead Ave Suite 130
Rocky Mount
, North Carolina 27804-8467
Dr. John Max Crestetto
Oral and Maxillofacial Surgeon
901 N Winstead Ave Suite 130
Rocky Mount
, North Carolina 27804-8467
(252) 937-2381
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About
Features
Specialties
- Oral and Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Dr. John Max Crestetto
- 901 N Winstead Ave Suite 130
- Rocky Mount, NC
- Zip : 27804-8467
- Fax : (252) 937-2381
- Phone : (252) 443-7331
Second Address
- Dr. John Max Crestetto
- 901 N Winstead Ave Suite 130
- Rocky Mount, NC
- Zip : 27804-8467
- Fax : (252) 937-2381
- Phone : (252) 443-7331
Reviews
FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223S0112X | Oral and Maxillofacial Surgeon | 6759 | NC |
National Provider Identifier
| NPI | 1063597375 |
|---|---|
| Provider Name | Dr. John Max Crestetto |
| First Address | Rocky Mount, NC 27804-8467 |
| Second Address | Rocky Mount, NC 27804-8467 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/10/2006 |
| Last Update Date | 20/02/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0102X | (05) | NC |
| 8990023 | (05) | NC |
| U66515 | (02) | NC |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.