KENNETH DETLAF CROSS (NPI# 1982717328) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982717328 |
| Entity Type | Individual |
| Full Name | KENNETH DETLAF CROSS |
| Credential | DMD |
| Practice Address |
510 Main St Benton PA 17814 |
| Mailing Address |
Po Box 248 510 Main St Benton PA 17814 |
| Practice Telephone | 5709255011 |
| Practice Fax Number | 5709252943 |
| Mailing Telephone | 5709255011 |
| Mailing Fax Number | 5709252943 |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2016-04-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DS026724L | PA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679832869 | Kenneth L Cross | Marriage & Family Therapist | 1812 Scott Ave, Los Angeles, CA 90026 | 2012-05-09 |
| 1669843330 | Kenneth Cross | Marriage & Family Therapist | 92 Whitlock Ave Nw, Marietta, GA 30064-2342 | 2015-10-07 |
| 1538147731 | Kenneth M Cross | Radiology | 166 4th St E, Saint Paul, MN 55101-1421 | 2006-01-06 |
| Street Address |
510 MAIN ST |
| City | BENTON |
| State | PA |
| Zip Code | 17814 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437319175 | Benton Volunteer Fire Company Ambulance Assoc | Ambulance | 150 Colley St, Benton, PA 17814 | 2008-06-16 |
| 1497886063 | Benton Volunteer Fire Company | Ambulance | 150 Colley St., Benton, PA 17814 | 2007-03-08 |
| 1396815312 | Thomas Anthony Kowalski | Dentist | 2 & Half & Market Streets, Benton, PA 17814 | 2006-11-08 |
| 1609868512 | Dale Neiderhiser | Chiropractor | 224 Main St, Benton, PA 17814-0124 | 2005-08-17 |
| 1124040795 | Colpharm Inc | Pharmacy | 283-285 Main St, Benton, PA 17814-0251 | 2006-07-24 |
| 1174738587 | John Joseph Hutnick | Optometrist | 110 Main Street, Benton, PA 17814-0275 | 2007-05-11 |
| 1497874259 | Sugarloaf Community Rescue & Ambulance Association | Ambulance | 987 Elk Grove Rd, Benton, PA 17814-7404 | 2007-03-29 |
| 1609055896 | Sugarloaf Community Rescue & | Ambulance | 987 Elk Grove Rd, Benton, PA 17814-7404 | 2007-10-24 |
| 1225094733 | Benton Area School District | Local Education Agency (LEA) | 600 Green Acres Rd, Benton, PA 17814-7603 | 2006-04-24 |
| 1669468997 | Richard A Prisuta | Family Medicine | 4469 Red Rock Rd, Benton, PA 17814-7606 | 2005-09-22 |
| Find all providers in zip 17814 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396069878 | Lori Lynn Weaver | Dentist | 1037 Kelley, Benton, AR 72019-2216 | 2010-03-26 |
| 1861665515 | Justin Bethel | Dentist | 407 Highway 5 North, Benton, AR 72019 | 2008-04-02 |
| 1508070764 | Kevin B Delatour | Dentist | 808 North Main, Benton, IL 62812 | 2007-05-09 |
| 1053446450 | Jason Dewayne Nicholson | Dentist | 6151 Hwy 411, Benton, TN 37307 | 2007-02-23 |
| 1447321708 | Kathleen A Wall Marks | Dentist | 3310 Highway 5 North, Benton, AR 72019 | 2006-11-10 |
| 1184724650 | Preston Cooper | Dentist | 1215 Military Rd, Suite 5, Benton, AR 72015 | 2006-09-25 |
| 1306951397 | Lendall Carroll Shell | Dentist | 2101 C Congo Rd, Benton, AR 72015 | 2006-08-20 |
| 1962416016 | Timothy Brian Scott | Dentist | 716 W South St, Benton, AR 72015-4160 | 2006-07-27 |
| 1447256607 | Brian E. Doss | Dentist | 978 Us Highway 68 E, Benton, KY 42025-7016 | 2005-06-22 |
| 1700309127 | Loredana Banu Wycliffe | Dentist | 216 E Carpenter St, Benton, AR 72015-3418 | 2017-07-18 |
| Find all providers in BENTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.