Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JORDAN P. CROCKER, D.M.D., PLLC
Active OrganizationDental Clinic · VICKSBURG, MS
Registration Details
- NPI Number
- 1962802710
- Provider Type
- Organization
- NPI Issued
- Aug 29, 2014 (11.677702537992 yrs)
- Last Updated
- Jan 9, 2019
- License
-
3672-12 (MS)
Practice Information
- Address
-
109 MONUMENT PLACEVICKSBURG, MS, 39180Browse MS providers · Browse ZIP 39180
- Phone
- 6016383661
- Fax
- 6016310401
- Primary Specialty
-
Dental Clinic
261QD0000X
Other Dental Clinic Organizations in VICKSBURG, MS
| Name | NPI |
|---|---|
| CENTRAL MISSISSIPPI CIVIC IMPROVEMENT ASSOCIATION | 1205868593 |
| COMPUDOC | 1306050323 |
| OLDENBURG FAMILY DENTISTRY LLC | 1952101784 |
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.