Robin M Cropper, DMD

Individual provider Active NPI General Practice Dentistry · Lawrenceburg, KY

NPI 1104837533 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1104837533
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
6948 (KY)
Practice address
720 W Broadway St
Lawrenceburg, KY 40342-1337
Phone
(502) 839-6828
Fax
(502) 839-6820
NPI assigned
Aug 10, 2006
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20150505002015 KY Order and Referring Only - Dentist
Practitioner - Dentist
0446579940

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
6948KYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Dentistry for Today PSC General Practice Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 6948 KY Yes

Addresses

Primary practice location

720 W Broadway St
Lawrenceburg, KY 40342-1337

Mailing address

720 W Broadway St
Lawrenceburg, KY 40342-1337
Phone (502) 839-6828

Other providers in Lawrenceburg, KY

All providers in Lawrenceburg, KY · General Practice Dentistry in Kentucky

Sources for this page

Verify at the official NPI Registry.