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DR. KEITH A. CROUCH DDS PA
NPI 1518217975
Dentist - General Practice in Statesville, NC

Active since September 13, 2012
511 BROOKDALE DR, STATESVILLE, NC 28677(704) 873-9641(704) 873-1544 Get Directions Write a Review

NPPES record last updated: September 13, 2012. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Dr. Keith A. Crouch Dds Pa NPPES

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

DR. KEITH A. CROUCH DDS PA (NPI 1518217975) is a healthcare organization registered as a general practice in Statesville, North Carolina and active in the NPI registry since September 2012. The organization lists Keith A. Crouch, President, as its authorized official.

NPPES Registry Identity

NPI1518217975
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameDR. KEITH A. CROUCH DDS PA
Location Address511 BROOKDALE DRStatesville, NC 28677-4107
Mailing Address511 Brookdale DrStatesville, NC 28677-4107 · (704) 873-9641 · Fax (704) 873-1544
Phone(704) 873-9641
Fax(704) 873-1544
Organization SubpartNo
Authorized OfficialKeith A. CrouchPresident · (704) 873-9641
Enumeration DateSeptember 13, 2012
✔ NPI 1518217975 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 DR, Statesville, NC 28677
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Other Identifiers 1

Medicaid8991922NC

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

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. TIMOTHY A. CROUCH DMD
Dentist (General Practice)
511 BROOKDALE DR
STATESVILLE, NC 28677
Iredell County (704) 873-9641
DR. TIMOTHY CROUCH DMD
Dentist (General Practice)
511 BROOKDALE DR
STATESVILLE, NC 28677
Iredell County (704) 873-9641
ROBERTS DMD PLLC
Dentist (General Practice)
511 BROOKDALE DR
STATESVILLE, NC 28677
Iredell County (704) 420-2260

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 Dr. Keith A. Crouch Dds PA's NPI number?

The NPI number for Dr. Keith A. Crouch Dds PA is 1518217975. It was assigned to this organization in the NPPES registry on September 13, 2012.

Where is Dr. Keith A. Crouch Dds PA located?

Dr. Keith A. Crouch Dds PA is located at 511 Brookdale Dr, Statesville, NC 28677. The listed phone number is (704) 873-9641.

What is Dr. Keith A. Crouch Dds PA'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 Dr. Keith A. Crouch Dds PA was last updated on September 13, 2012. 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.