NPI 1063597375 DR. JOHN MAX CRESTETTO DDS,MD ROCKY MOUNT NC. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Dr. John Max Crestetto - NPI: 1063597375

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: DR. JOHN MAX CRESTETTO
NPI Number: 1063597375
Entity Type Code: Individual (1)
Gender: M
Credentials: DDS,MD
License Number: 6759
Business Practice Address: 901 N Winstead Ave
Suite 130 Rocky Mount, NC - 278048467
Business Phone Number: 2524437331
Business Fax Number: 2529372381
Mailing Address: 901 N Winstead Ave, Suite 130
ROCKY MOUNT
State: NC
Postal Code: 278048467
Phone Number: 2524437331
Fax Number: 2529372381
NPI Enumeration Date: 10/26/2006
NPI Last Update Date: 02/20/2012
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 1223S0112X
License Number: 6759
Healthcare Provider Taxonomy:
(Secondary)
Y
State: NC
Taxonomy Type: Dental Providers
Taxonomy Classification: Dentist
Taxonomy Specialization: Oral and Maxillofacial Surgery
Taxonomy Definition:
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.


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