Kenneth Detlaf Cross, DMD
Dentist · Benton, PA
Practice location
510 Main StBenton, PA 17814
- Phone
- (570) 925-5011
- Fax
- (570) 925-2943
NPI record
- NPI
- 1982717328
- Entity type
- Individual (Type 1)
- Enumeration date
- August 17, 2006
- Last updated
- April 3, 2016
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X |
DS026724L | PA |
Mailing address
PO Box 248510 Main St
Benton, PA 17814
- Phone
- (570) 925-5011
- Fax
- (570) 925-2943
About Dr. Cross
Kenneth Detlaf Cross, DMD is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 510 Main St, Benton, PA 17814. The NPI number 1982717328 was assigned on August 17, 2006 and the record was last updated on April 3, 2016.
Dr. Cross lists a license in the registry: #DS026724L (PA) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Kenneth Detlaf Cross, DMD?
The NPI number is 1982717328.
What is the phone number of Dr. Cross?
The phone number listed for the practice location is (570) 925-5011.
Where is Dr. Cross located?
510 Main St, Benton, PA 17814.
What is the taxonomy code for Dr. Cross?
The primary taxonomy code is 122300000X – Dentist.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.