Jordan P. Crocker, D.m.d., Pllc is a renowned Dental office in Vicksburg, Mississippi. It is located at 109 Monument Place, Vicksburg, MS and its contact number is 601-638-3661. The authorized person for Jordan P. Crocker, D.m.d., Pllc is Dr. Jordan P Crocker
who is Owner of the place and their contact number is 601-638-3661. The primary license number for Jordan P. Crocker, D.m.d., Pllc is 3672-12 (Dental) in Mississippi.
Jordan P. Crocker, D.m.d., Pllc Office is a healthcare facility where dedicated dental team composed of licensed professionals, including dentists (DDS or DMD), dental hygienists, dental assistants, and administrative staff (manage appointments, billing, and patient records) provides preventive, diagnostic, and therapeutic oral health services like oral exams and X-rays, fillings, fluoride treatments, teeth cleanings, implants, crowns, bridges, tooth extractions, root canals, and cosmetic procedures such as teeth whitening, braces and veneers to patients through outpatient care.
Complete Profile:
Jordan P. Crocker, D.m.d., Pllc Office speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Jordan P. Crocker, D.m.d., Pllc |
| Specialization: | Dentistry |
| Address: | 109 Monument Place, Vicksburg,
Mississippi, 39180 |
| Phone: | 601-638-3661 |
| Fax: | 601-631-0401 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this Office are as below. Person's position and contact details are also mentioned below.
| Name: | Dr. Jordan P Crocker |
| Position: | Owner |
| Contact Number: | 601-638-3661 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Jordan P. Crocker, D.m.d., Pllc Office are as mentioned below.
| NPI Number: | 1962802710 |
| NPI Enumeration Date: | 29 Aug, 2014 |
| NPI Last Update On: | 09 Jan, 2019 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jordan P. Crocker, D.m.d., Pllc are as mentioned below.
| Specialization | License Number | State | Status | |
| Dental | 3672-12 | Mississippi | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Jordan P. Crocker, D.m.d., Pllc
109 Monument Place,
Vicksburg, Mississippi |
| Zip: | 39180 |
| Phone Number: | 601-638-3661 |
| Fax Number: | 601-631-0401 |
Patients can reach Jordan P. Crocker, D.m.d., Pllc at
109 Monument Place, Vicksburg, Mississippi or can
call to book an appointment on 601-638-3661.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
09 March, 2026.