Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Deidre Berger Crockett, DMD

Individual provider General Practice Dentistry · NPI 1003978099

Dr. Deidre Berger Crockett, DMD is a General Practice Dentistry in Columbia, South Carolina. Licensed in South Carolina. Registered with an NPI since 2006.

Licensed in
SC
In the registry since
2006
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

5251 Forest Dr
Columbia, SC 29206-4920
Phone: (803) 787-9793
Fax: (803) 738-0300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 4192 (SC)

Record details

NPI number1003978099
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorNo
NPI enumeratedDecember 15, 2006
Last updated in NPPESJuly 8, 2007

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