Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KENNETH DETLAF CROSS, DMD
ActiveKENNETH DETLAF CROSS, DMD is a Dentist healthcare provider located in BENTON, Pennsylvania. NPI 1982717328 is currently active in the NPPES registry. Verify at CMS.
Dentist · BENTON, PA
Registration Details
- NPI Number
- 1982717328
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 17, 2006 (19.983967909522 yrs)
- Last Updated
- Apr 3, 2016
- License
-
DS026724L (PA)
Practice Information
- Address
-
510 MAIN STBENTON, PA, 17814Browse PA providers · Browse ZIP 17814
- Phone
- 5709255011
- Fax
- 5709252943
- Primary Specialty
-
Dentist
122300000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.