Dr. Jordan P Crocker is a Vicksburg, Mississippi based Dentist who is specialized in General Practice Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Jordan P Crocker is 3672-12 for General Practice Dentistry in Mississippi. His current practice location is 109 Monument Pl, Vicksburg. Patients can reach him at 601-638-3661.
Dr. Jordan P Crocker is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Dr. Jordan P Crocker speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
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 are as mentioned below.
NPI Number:
1982952115
NPI Enumeration Date:
20 Aug, 2012
NPI Last Update On:
07 Dec, 2018
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Jordan P Crocker are as mentioned below.
License Number
Specialization
State
Status
3672-12
General Practice Dentistry
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:
109 Monument Pl, Vicksburg, Mississippi
Zip:
39180-5161
Phone Number:
601-638-3661
Fax Number:
601-631-0401
Patients can reach Dr. Jordan P Crocker at 109 Monument Pl, Vicksburg, Mississippi or can call to book an appointment on 601-638-3661. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.