DR. Deidre Berger Crockett, D.M.D.
NPI #1003978099 in Columbia, South Carolina
Provider Information
- NPI Number
- 1003978099
- Entity Type
- Individual
- Name
- DR. Deidre Berger Crockett, D.M.D.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- D.M.D.
- Enumeration Date
- Dec 15, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 5251 FOREST DR
- City
- Columbia
- State
- South Carolina
- ZIP Code
- 29206-4920
- Phone
- (803) 787-9793
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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