Cindy Lee Croy, RDH
Individual provider Active NPI Dental Hygienist · Payson, AZ
NPI 1104925593 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1104925593
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dental Hygienist 124Q00000X
- License
- 1444 (AZ)
- Practice address
- 300 W Airport Rd
Payson, AZ 85541-3607 - Phone
- (928) 474-3016
- NPI assigned
- Sep 21, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1444 | AZ | MD | Dental Hygienist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 1444 | AZ | Yes |
Addresses
Primary practice location
300 W Airport Rd
Payson, AZ 85541-3607
Mailing address
1040 W Bridle Path LN
Payson, AZ 85541-3016
Phone (928) 474-0136
Other providers in Payson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.