CROCKETT PEDIATRIC DENTISTRY, P.A.

GREENVILLE, SC
NPI1124245626
Entity TypeOrganization
Authorized ContactJERRY W. CROCKETT
Business Manager
864-234-9800
Organization Subpart ?No
Primary Taxonomy1223P0221X Dentist, Pediatric Dentistry
(Licence: SC  sc3486)
Enumeration Date2007-04-19
Last Update Date2020-08-22
Business Address
CROCKETT PEDIATRIC DENTISTRY, P.A.
102 S VENTURE DR
GREENVILLE, SC 29615-3571
Phone number: 864-234-9800
Mailing Address
CROCKETT PEDIATRIC DENTISTRY, P.A.
102 S VENTURE DR
GREENVILLE, SC 29615-3571
Phone number: 864-234-9800