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

Individual provider Prosthodontics · NPI 1720503758

Russell John Crockett, DMD is a Prosthodontics in Scottsdale, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2017
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

5533 E Bell Rd Ste 120
Scottsdale, AZ 85254-1256
Phone: (520) 560-1690
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prosthodontics (primary) Taxonomy 1223P0700X · Licence D009803 (AZ)

Record details

NPI number1720503758
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedAugust 10, 2017
Last updated in NPPESFebruary 10, 2018

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