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Dennis M Crockett, MD
Plastic Surgery within the Head & Neck (Otolaryngology) Physician in Mission Viejo, California
NPI 1356362800

Dennis M Crockett is a Plastic Surgery within the Head & Neck (Otolaryngology) Physician based in Mission Viejo, CA and is specialized in Plastic Surgery within the Head & Neck. Dennis M Crockett practices in Mission Viejo, CA and has the professional credentials of MD. The NPI Number for Dennis M Crockett is 1356362800 and holds a License No. G42104 (California).

The current practice location address for Dennis M Crockett is 26726 Crown Valley Pkwy., Mission Viejo, CA and can be reached out via phone at 949-364-4361 and via fax at 949-364-4495.

Location: 26726 Crown Valley Pkwy., Mission Viejo, CA, 92691
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1356362800
Provider Name
Dennis M Crockett
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
26726 Crown Valley Pkwy., Mission Viejo, CA, 92691
Phone Number
949-364-4361
Fax Number
949-364-4495
Provider Enumeration Date
07/21/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
W8109 01 GEL PTAN
00G421040 05 CA
institution
Provider Business Practice Location Address Details
Address
26726 Crown Valley Pkwy.
City
Mission Viejo
State
California
Zip
92691
Phone Number
949-364-4361
Fax Number
949-364-4495
person
Provider Business Mailing Address Details
Address
26726 Crown Valley Pkwy.
City
Mission Viejo
State
California
Zip
92691
Phone Number
949-364-4361
Fax Number
949-364-4495
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Otolaryngology
Speciality
Plastic Surgery within the Head & Neck
Taxonomy
207YX0007X
License No.
G42104 (California)
Definition
An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them.
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