Jim W Crosby DDS PC
Organization Active NPI Dentist · Eagar, AZ
NPI 1730130360 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1730130360
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dentist 122300000X
- Legal business name
- JIM W CROSBY DDS PC
- Practice address
- 133 W Central Box 430
Eagar, AZ 85925-0430 - Phone
- (928) 333-4121
- Fax
- (928) 333-5089
- NPI assigned
- May 16, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Jim W Crosby, DDS
- Title
- President
- Phone
- (928) 333-4121
Practitioners 1
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist |
122300000X | Yes |
Addresses
Primary practice location
133 W Central Box 430
Eagar, AZ 85925-0430
Mailing address
133 W Central Box 430
Eagak, AZ 85925-0430
Phone (928) 333-4121
Other providers in Eagar, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. 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.