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RODDIE A CROUCH DDS PC
NPI 1083805386
Dentist - General Practice in Marietta, GA

Active since August 05, 2007
2125 POST OAK TRITT ROAD, MARIETTA, GA 30062(770) 977-9090(770) 578-8289 Get Directions Write a Review

NPPES record last updated: August 5, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Roddie A Crouch Dds Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RODDIE A CROUCH DDS PC (NPI 1083805386) is a healthcare organization registered as a general practice in Marietta, Georgia and active in the NPI registry since August 2007. The organization lists Roddie Amos Crouch, President Owner, as its authorized official.

NPPES Registry Identity

NPI1083805386
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameRODDIE A CROUCH DDS PC
Location Address2125 POST OAK TRITT ROADMarietta, GA 30062-1609
Mailing Address2125 Post Oak Tritt RoadMarietta, GA 30062-1609 · (770) 977-9090 · Fax (770) 578-8289
Phone(770) 977-9090
Fax(770) 578-8289
Organization SubpartNo
Authorized OfficialRoddie Amos CrouchPresident Owner · (770) 977-9090
Enumeration DateAugust 5, 2007
✔ NPI 1083805386 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in GA · 8484
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
2125 POST OAK TRITT ROAD, Marietta, GA 30062
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Roddie A Crouch Dds PC's NPI number?

The NPI number for Roddie A Crouch Dds PC is 1083805386. It was assigned to this organization in the NPPES registry on August 5, 2007.

Where is Roddie A Crouch Dds PC located?

Roddie A Crouch Dds PC is located at 2125 Post Oak Tritt Road, Marietta, GA 30062. The listed phone number is (770) 977-9090.

What is Roddie A Crouch Dds PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Roddie A Crouch Dds PC was last updated on August 5, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.