Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Everett Cornish Crouch Jr., DDS

Individual provider Dentist · NPI 1417237363

Dr. Everett Cornish Crouch Jr., DDS is a Dentist in Jacksonville, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2011
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

6073 San Jose Blvd W
Jacksonville, FL 32217
Phone: (904) 737-2111
Fax: (907) 737-2207
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 3080 (FL)

Record details

NPI number1417237363
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedAugust 24, 2011
Last updated in NPPESAugust 24, 2011

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