Provider Demographics
NPI:1255428454
Name:RICHARD T NORCROSS DDS INC
Entity type:Organization
Organization Name:RICHARD T NORCROSS DDS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:NORCROSS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:440-835-2668
Mailing Address - Street 1:23850 CENTER RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:WESTLAKE
Mailing Address - State:OH
Mailing Address - Zip Code:44145-4217
Mailing Address - Country:US
Mailing Address - Phone:440-835-2666
Mailing Address - Fax:440-835-2676
Practice Address - Street 1:23850 CENTER RIDGE RD
Practice Address - Street 2:
Practice Address - City:WESTLAKE
Practice Address - State:OH
Practice Address - Zip Code:44145-4217
Practice Address - Country:US
Practice Address - Phone:440-835-2666
Practice Address - Fax:440-835-2676
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH147681223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty