Dr. Mary Whitaker Crockett
D.M.D. | Pediatric Dentist
102 S Venture Dr, Greenville
South Carolina, 29615-3571
864-234-9800 864-234-9820
Maps & DirectionsDr. Mary Whitaker Crockett is a Greenville, South Carolina based Pediatric Dentist who is specialized in
Pediatric Dentistry. She does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Mary Whitaker Crockett is
SC3486 for Pediatric Dentistry in South Carolina. Her current practice location is
102 S Venture Dr, Greenville. Patients can reach her at
864-234-9800.
Dr. Mary Whitaker Crockett provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Complete Profile:
Dr. Mary Whitaker Crockett 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.
| Name: | Dr. Mary Whitaker Crockett |
| Specialization: | Pediatric Dentist |
| Gender: | Female |
| Credentials: | D.M.D. |
| Accepts Medicare Assignment: | No |
| Practice Address: | 102 S Venture Dr, Greenville,
South Carolina, 29615-3571 |
| Phone: | 864-234-9800 |
| Fax: | 864-234-9820 |
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 are as mentioned below.
| NPI Number: | 1194805143 |
| NPI Enumeration Date: | 16 Oct, 2006 |
| NPI Last Update On: | 09 Jul, 2007 |
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. Mary Whitaker Crockett are as mentioned below.
| License Number | Specialization | State | Status | |
| SC3486 | Pediatric Dentistry | South Carolina | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Mary Whitaker Crockett such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| ZA9507 | Medicaid | South Carolina | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 102 S Venture Dr,
Greenville, South Carolina |
| Zip: | 29615-3571 |
| Phone Number: | 864-234-9800 |
| Fax Number: | 864-234-9820 |
Patients can reach Dr. Mary Whitaker Crockett at
102 S Venture Dr, Greenville, South Carolina or can
call to book an appointment on 864-234-9800.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.