JORDAN P. CROCKER, D.M.D., PLLC is a dental clinic center in Vicksburg, MS. JORDAN P. CROCKER, D.M.D., PLLC NPI is 1962802710. The provider is registered as an organization entity type.
The provider Is Doing Business As Crocker Family Dental.
The provider's business location address is:
109 MONUMENT PLACE
VICKSBURG, MS
ZIP 39180
Phone: (601) 638-3661
Fax: (601) 631-0401
The provider's authorized official is Jordan P Crocker .
The authorized official title is Owner and has the following contact phone number (601) 638-3661.
The enumeration date for this NPI number is 8/29/2014 and was last updated on 1/9/2019.