DR. EVERETT CORNISH CROUCH JR. D.D.S.
NPI 1417237363
Dentist in Jacksonville, FL

Q: What is Everett Crouch's NPI number?

The NPI number for Everett Crouch is 1417237363. It was assigned to this individual provider in the NPPES registry on August 24, 2011.

Q: What is Everett Crouch's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Everett Crouch was last updated on August 24, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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 August 24, 2011

6073 SAN JOSE BLVD, WEST, JACKSONVILLE, FL 32217(904) 737-2111(907) 737-2207 Get Directions Write a Review

NPPES record last updated: August 24, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Everett Cornish Crouch Jr. D.d.s. NPPES

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

DR. EVERETT CORNISH CROUCH JR. D.D.S. (NPI 1417237363) is an individual dentist in Jacksonville, Florida, licensed in Florida (3080) and active in the NPI registry since August 2011.

NPPES Registry Identity

NPI1417237363

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. EVERETT CORNISH CROUCH JR.Credential: D.D.S.

Location Address6073 SAN JOSE BLVD, WESTJacksonville, FL 32217

Mailing Address6073 San Jose West, Dr E C CrouchJacksonville, FL 32214 · (904) 737-2111 · Fax (904) 737-2207

Phone(904) 737-2111

Fax(907) 737-2207

Sole ProprietorYes

Enumeration DateAugust 24, 2011

✔ NPI 1417237363 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in FL · 3080

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

6073 SAN JOSE BLVD, WEST, Jacksonville, FL 32217

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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 Everett Crouch's NPI number?

The NPI number for Everett Crouch is 1417237363. It was assigned to this individual provider in the NPPES registry on August 24, 2011.

Where is Everett Crouch located?

Everett Crouch practices at 6073 San Jose Blvd, West, Jacksonville, FL 32217. The listed phone number is (904) 737-2111.

What is Everett Crouch's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Everett Crouch was last updated on August 24, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.