Roddie a Crouch DDS PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8484 Issued in GA

Legal business name

RODDIE A CROUCH DDS PC

Practice address

2125 Post Oak Tritt Road
Marietta, GA 30062-1609

Phone

(770) 977-9090

Fax

(770) 578-8289

NPI assigned

Aug 5, 2007

Last updated

Aug 5, 2007By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Roddie Amos Crouch, DDSNPI 1528294238

Title

President Owner

Phone

(770) 977-9090

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Roddie Crouch, DDS

  • General Practice Dentistry
  • Marietta, GA
  • NPI 1528294238
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186272000000",
    "number": "1083805386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2125 POST OAK TRITT ROAD",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300621609",
            "telephone_number": "770-977-9090",
            "fax_number": "770-578-8289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2125 POST OAK TRITT ROAD",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300621609",
            "telephone_number": "770-977-9090",
            "fax_number": "770-578-8289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RODDIE A CROUCH DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-05",
        "last_updated": "2007-08-05",
        "status": "A",
        "authorized_official_last_name": "CROUCH",
        "authorized_official_first_name": "RODDIE",
        "authorized_official_middle_name": "AMOS",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "770-977-9090",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "8484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tanner Robinson, RBT
• Tonette Robinson, PH.D.
• Robyn Gruber Counseling Inc
• Tania Van Rochelle-Catoe, MS LPC NCC
• Dustin Rochestie, D.O.
• Jonathan Paul Rodie, PA-C
• Jose O Rodriguez-Torres, MD
• Alexis Ansley Rodriguez
• Alyssa May Rodriguez, LPC
• Amanda Nicole Rodriguez

• General Practice Dentistry in Marietta, GA
• Providers in Marietta, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.