Individual provider · Type 1 NPI

Jordan P. Crocker, DMD

General Practice Dentistry · Vicksburg, MS

NPI number 1982952115 Active

Practice location

109 Monument Pl
Vicksburg, MS 39180-5161

Call (601) 638-3661 Map

Fax (601) 631-0401

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X3672-12 (MS)

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.

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About NPI 1982952115

Jordan P. Crocker, DMD's National Provider Identifier is 1982952115, issued on Aug 20, 2012. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Vicksburg, MS. The record was last updated on Dec 7, 2018.