Organization · Type 2 NPI

Crockett Pediatric Dentistry, P.a.

Pediatric Dentistry · Greenville, SC

NPI number 1124245626 Active

Practice location

102 S Venture Dr
Greenville, SC 29615-3571

Call (864) 234-9800 Map

Fax (864) 234-9820

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221XSC3486 (SC)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

2 other providers at this address

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About NPI 1124245626

Crockett Pediatric Dentistry, P.a.'s National Provider Identifier is 1124245626, issued on Apr 19, 2007. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Greenville, SC. The record was last updated on Aug 22, 2020.