Search › South Carolina › 1223P0221X
Mary Crockett, D.M.D
NPI 1194805143 · on the registry since 2006 · sole proprietor
Practice
- Address
- 102 S Venture Dr
Greenville, SC 29615 - Phone
- (864) 234-9800
- Fax
- (864) 234-9820
- Organisation at this address
- Crockett Pediatric Dentistry, P.A.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 1223P0221X
1223P0221X
- Licence states on file
- SC
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2007-07-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Carolina