Jordan P. Crocker, DMD, PLLC
Jordan P. Crocker, DMD, PLLC is a Dental Clinic/Center in Vicksburg, Mississippi. Licensed in Mississippi. Registered with an NPI since 2014.
- Licensed in
- MS
- In the registry since
- 2014
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
109 Monument PlVicksburg, MS 39180
Phone: (601) 638-3661
Fax: (601) 631-0401
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dental Clinic/Center (primary) | Taxonomy 261QD0000X · Licence 3672-12 (MS) |
|---|
Record details
| NPI number | 1962802710 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jordan Crocker — Owner · (601) 638-3661 |
| Other names | Crocker Family Dental |
| NPI enumerated | August 29, 2014 |
| Last updated in NPPES | January 9, 2019 |
| Mailing address | 109 Monument Place, Vicksburg, MS 39180 |
Other providers in Vicksburg
-
Central Mississippi Civic Improvement Association
3312 Oak St, Vicksburg, MS 39180-5042 · (601) 629-9500
-
Compudoc
1713 Clay St Ste 5, Vicksburg, MS 39183-3048 · (601) 638-7007
-
Oldenburg Family Dentistry LLC
3205 Wisconsin Ave, Vicksburg, MS 39180-5350 · (601) 634-6080