Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JORDAN P CROCKER, DMD
ActiveDR. JORDAN P CROCKER, DMD is a General Dentistry healthcare provider located in VICKSBURG, Mississippi. NPI 1982952115 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · VICKSBURG, MS
Registration Details
- NPI Number
- 1982952115
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 20, 2012 (13.986937682481 yrs)
- Last Updated
- Dec 7, 2018
- License
-
3672-12 (MS)
Practice Information
- Address
-
109 MONUMENT PLVICKSBURG, MS, 391805161Browse MS providers · Browse ZIP 39180
- Phone
- 6016383661
- Fax
- 6016310401
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in VICKSBURG, MS
| Name | Credential | NPI |
|---|---|---|
| JIMMY F VESSELL | DDS | 1134180557 |
| DR. MICHAEL BARRY ELLIS | D.M.D.,P.A. | 1619995743 |
| MARTIN V CHANEY | D.M.D. | 1821150194 |
| DR. ROBERT A SADLER | DDS | 1366582413 |
| DR. LEMONT TERRANCE NORRIS | DDS | 1891812731 |
| DR. DONALD WILLIAM JACKSON | — | 1760500649 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.