DR. Todd James Crockett, D.D.S.

NPI #1457560815 in Lame Deer, Montana

Provider Information

NPI Number: 1457560815
Entity Type: Individual
Name: DR. Todd James Crockett, D.D.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: May 22, 2007
Last Updated: Jul 12, 2007

Practice Location

Address: 100 CHEYENNE AVE.
City: Lame Deer
State: Montana
ZIP Code: 59043
Phone: (406) 477-4509

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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