Robert Lister Crosby, D.M.D.
Individual provider Active NPI General Practice Dentistry · Greenville, AL
NPI 1154423903 · NPPES record last updated Jul 9, 2007
Key facts
- NPI
- 1154423903
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 3752 (AL)
- Practice address
- 100 N Pine St
Greenville, AL 36037-2222 - Phone
- (334) 382-7877
- NPI assigned
- Sep 2, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160217000354 | AL | Order and Referring Only - Oral Surgery |
9032414800 |
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3752 | AL | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Robert L Crosby, DMD, PC | Current |
Accepting new patients |
Locations
100 N Pine St
Greenville, AL 36037
Phone (334) 382-7877
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 3752 | AL | Yes |
Addresses
Primary practice location
100 N Pine St
Greenville, AL 36037-2222
Mailing address
PO Box 809
Greenville, AL 36037-0809
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 774940 | Other | AL | UNITED CONCORDIA |
| 07866 | Other | AL | BLUE CROSS & BLUE SHIELD |
Other providers in Greenville, AL
- Olivia Ashurst Cockrell
- Jennifer Coker
- James Phillip Cole
- Norie Latavia Coleman
- Comfort Care Hospice, LLC
- Crowne Health Care of Greenville, LLC
- Melissa Ann Curry
- Dnasia Denae Davis
- Ashley L Dunklin
- Valexia Jacynta Edwards
All providers in Greenville, AL · General Practice Dentistry in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.