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
Mailing address6073 San Jose West, Dr E C Crouch, Jacksonville, FL 32214

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