MR. KEITH ALLEN CROUCH DDS
NPI 1164508743
Dentist - General Practice in Statesville, NC

Q: What is Keith Crouch's NPI number?

The NPI number for Keith Crouch is 1164508743. It was assigned to this individual provider in the NPPES registry on October 27, 2006.

Q: What is Keith Crouch's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Keith Crouch was last updated on February 14, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since October 27, 2006

511 BROOKDALE DRIVE, STATESVILLE, NC 28677(704) 873-9641(704) 873-1544 Get Directions Write a Review

NPPES record last updated: February 14, 2011. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Mr. Keith Allen Crouch Dds NPPES

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

MR. KEITH ALLEN CROUCH DDS (NPI 1164508743) is an individual general practice provider in Statesville, North Carolina, licensed in North Carolina (5075) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1164508743

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameMR. KEITH ALLEN CROUCHCredential: DDS

Location Address511 BROOKDALE DRIVEStatesville, NC 28677-4107

Mailing Address511 Brookdale DriveStatesville, NC 28677-4107 · (704) 873-9641 · Fax (704) 873-1544

Phone(704) 873-9641

Fax(704) 873-1544

Sole ProprietorYes

Enumeration DateOctober 27, 2006

Last NPPES UpdateFebruary 14, 2011

✔ NPI 1164508743 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in NC · 5075

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.

511 BROOKDALE DRIVE, Statesville, NC 28677

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Other Identifiers 1

Medicaid8991922NC

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 Keith Crouch's NPI number?

The NPI number for Keith Crouch is 1164508743. It was assigned to this individual provider in the NPPES registry on October 27, 2006.

Where is Keith Crouch located?

Keith Crouch practices at 511 Brookdale Drive, Statesville, NC 28677. The listed phone number is (704) 873-9641.

What is Keith Crouch'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 Keith Crouch was last updated on February 14, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.