Individual provider · Type 1 NPI
Justin J. Crocker, D.S.S.
General Practice Dentistry · Roanoke, TX
NPI number
1245358159
Active
Practice location
200 E State Highway 114
Roanoke, TX 76262
Mailing address
200 E. State Hwy 114
Roanoke, TX 76262
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 19786 (TX) |
General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Another provider at this address
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About NPI 1245358159
Justin J. Crocker, D.S.S.'s National Provider Identifier is 1245358159, issued on Mar 27, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Roanoke, TX. The record was last updated on Jul 8, 2007.