Cross Creek Dental
Organization Active NPI Dentist · Lorena, TX
NPI 1639733116 · NPPES record last updated Apr 30, 2019
Key facts
- NPI
- 1639733116
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dentist 122300000X
- Legal business name
- CROSS CREEK DENTAL
- Practice address
- 1199 Old Lorena Rd
Lorena, TX 76655-3176 - Phone
- (254) 655-4323
- NPI assigned
- Apr 30, 2019
- Organization subpart
- No
Authorized official
- Name
- Dr. Dod David Moore, DDS
- Title
- Owner
- Phone
- (254) 655-4342
Practitioners 2
-
Dod David Moore, D.D.S.
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist |
122300000X | Yes |
Addresses
Primary practice location
1199 Old Lorena Rd
Lorena, TX 76655-3176
Mailing address
10104 Saddle Creek Rd
Waco, TX 76708-7290
Phone (254) 655-4323
Other providers in Lorena, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 30, 2019. 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.