CROCKETT PEDIATRIC DENTISTRY, P.A. is a pediatric dentistry dentist in Greenville, SC. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. CROCKETT PEDIATRIC DENTISTRY, P.A. NPI is 1124245626. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
102 S VENTURE DR
GREENVILLE, SC
ZIP 29615-571
Phone: (864) 234-9800
Fax: (864) 234-9820
The provider's authorized official is Jerry W. Crockett .
The authorized official title is Business Manager and has the following contact phone number (864) 234-9800.
The enumeration date for this NPI number is 4/19/2007 and was last updated on 8/22/2020.