Provider Demographics
NPI:1437182532
Name:CROSBIE, DARREN B (DDS)
Entity Type:Individual
Prefix:DR
First Name:DARREN
Middle Name:B
Last Name:CROSBIE
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17110 DALLAS PKWY STE 140
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75248-1127
Mailing Address - Country:US
Mailing Address - Phone:972-407-1333
Mailing Address - Fax:972-407-1681
Practice Address - Street 1:17110 DALLAS PKWY STE 140
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75248-1127
Practice Address - Country:US
Practice Address - Phone:972-407-1333
Practice Address - Fax:972-407-1681
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX209731223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice