person
Dr. Mary Whitaker Crockett, DMD
Pediatric Dentist in Greenville, South Carolina
NPI 1194805143

Mary Whitaker Crockett is a Pediatric Dentist based in Greenville, SC and is specialized in Pediatric Dentistry. Mary Whitaker Crockett practices in Greenville, SC and has the professional credentials of DMD. The NPI Number for Mary Whitaker Crockett is 1194805143 and holds a License No. SC3486 (South Carolina).

The current practice location address for Mary Whitaker Crockett is 102 S Venture Dr, Greenville, SC and can be reached out via phone at 864-234-9800 and via fax at 864-234-9820. You can also correspond with Mary Whitaker Crockett through the mailing address at 102 S VENTURE DR, GREENVILLE, SC - 29615-3571 (mailing address contact number: 864-234-9800).

Location: 102 S Venture Dr, Greenville, SC, 29615-3571
person
Provider Profile Details
NPI Number
1194805143
Provider Name
Mary Whitaker Crockett
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
102 S Venture Dr, Greenville, SC, 29615-3571
Phone Number
864-234-9800
Fax Number
864-234-9820
Provider Enumeration Date
10/16/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
ZA9507 05 SC
institution
Provider Business Practice Location Address Details
Address
102 S Venture Dr
City
State
Zip
29615-3571
Phone Number
864-234-9800
Fax Number
864-234-9820
person
Provider Business Mailing Address Details
Address
102 S Venture Dr
City
State
Zip
29615-3571
Phone Number
864-234-9800
Fax Number
864-234-9820
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
License No.
SC3486 (South Carolina)
Definition
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.
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