institution
Jordan P. Crocker, D.m.d., Pllc
Dental Clinic/Center in Vicksburg, Mississippi
NPI 1962802710

Jordan P. Crocker, D.m.d., Pllc is a Dental Clinic/Center based in Vicksburg, MS and is specialized in Dental. Jordan P. Crocker, D.m.d., Pllc practices in Vicksburg, MS. The NPI Number for Jordan P. Crocker, D.m.d., Pllc is 1962802710 and holds a License No. 3672-12 (Mississippi).

The current practice location address for Jordan P. Crocker, D.m.d., Pllc is 109 Monument Place, Vicksburg, MS and can be reached out via phone at 601-638-3661 and via fax at 601-631-0401.

Location: 109 Monument Place, Vicksburg, MS, 39180
institution
Provider Profile Details
NPI Number
1962802710
Provider Name
Jordan P. Crocker, D.m.d., Pllc
Credential
Provider Entity Type
Organization
Address
109 Monument Place, Vicksburg, MS, 39180
Phone Number
601-638-3661
Fax Number
601-631-0401
Provider Enumeration Date
08/29/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
109 Monument Place
City
State
Zip
39180
Phone Number
601-638-3661
Fax Number
601-631-0401
person
Provider Business Mailing Address Details
Address
109 Monument Place
City
State
Zip
39180
Phone Number
601-638-3661
Fax Number
601-631-0401
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
3672-12 (Mississippi)
Definition
Definition to come...
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