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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CROCKETT PEDIATRIC DENTISTRY, P.A.

Active Organization

CROCKETT PEDIATRIC DENTISTRY, P.A. is a Pediatric Dentistry organization located in GREENVILLE, South Carolina. NPI 1124245626 is currently active in the NPPES registry. Verify at CMS.

Pediatric Dentistry · GREENVILLE, SC

Registration Details

NPI Number
1124245626
Provider Type
Organization
NPI Issued
Apr 19, 2007 (19.346781507793 yrs)
Last Updated
Aug 22, 2020
License
SC3486 (SC)

Practice Information

Address
102 S VENTURE DR
GREENVILLE, SC, 296153571
Browse SC providers · Browse ZIP 29615
Phone
8642349800
Fax
8642349820
Primary Specialty
Pediatric Dentistry
1223P0221X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.