DR. Jordan P Crocker, DMD
NPI #1982952115 in Vicksburg, Mississippi
Provider Information
- NPI Number
- 1982952115
- Entity Type
- Individual
- Name
- DR. Jordan P Crocker, DMD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- DMD
- Enumeration Date
- Aug 20, 2012
- Last Updated
- Dec 7, 2018
Practice Location
- Address
- 109 MONUMENT PL
- City
- Vicksburg
- State
- Mississippi
- ZIP Code
- 39180-5161
- Phone
- (601) 638-3661
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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