Wellformed AI

NPI 1780092155 · live from the CMS NPI Registry

Erica Danielle Crosta, D.M.D

Dentist, Orthodontics and Dentofacial Orthopedics in Bend, OR. National Provider Identifier 1780092155, active.

NPI record

NPI1780092155 Type 1 · individual
StatusActive
Primary specialtyDentist, Orthodontics and Dentofacial Orthopedics 1223X0400X
Practice location929 Sw Simpson Ave, Bend, OR 97702
Practice phone541-848-6642
EnumeratedJuly 29, 2014
Last updatedJanuary 5, 2017
Sole proprietorNo
Other namesErica Robinson

Taxonomies and licenses

TaxonomyCodeLicense
Dentist, Orthodontics and Dentofacial Orthopedics primary1223X0400XD10528 (OR)
Dentist122300000XLL-371-14 (NV)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.