Individual provider · Type 1 NPI

Mary Whitaker Crockett, DMD

Pediatric Dentistry · Greenville, SC

NPI number 1194805143 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

Other pediatric dentistry providers in Greenville

See all in Greenville →

About NPI 1194805143

Mary Whitaker Crockett, DMD's National Provider Identifier is 1194805143, issued on Oct 16, 2006. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Greenville, SC. The record was last updated on Jul 9, 2007.