Dr. 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:
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. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.