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Jordan Crocker, DMD
NPI 1982952115 · on the registry since 2012
Practice
- Address
- 109 Monument Pl
Vicksburg, MS 39180 - Phone
- (601) 638-3661
- Fax
- (601) 631-0401
Registry record
- Primary taxonomy
- General Practice Dentistry
1223G0001X
- Licence states on file
- MS
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-12-07
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 Mississippi