Justin J. Crocker, D.S.S.
General Practice Dentistry · Roanoke, TX
Practice location
200 E State Highway 114Roanoke, TX 76262
- Phone
- (817) 567-8040
NPI record
- NPI
- 1245358159
- Entity type
- Individual (Type 1)
- Enumeration date
- March 27, 2007
- Last updated
- July 8, 2007
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Dentistry Primary | 1223G0001X |
19786 | TX |
Mailing address
200 E. State Hwy 114Roanoke, TX 76262
- Phone
- (817) 567-8040
About Justin Crocker
Justin J. Crocker, D.S.S. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 200 E State Highway 114, Roanoke, TX 76262. The NPI number 1245358159 was assigned on March 27, 2007 and the record was last updated on July 8, 2007.
Justin Crocker lists a license in the registry: #19786 (TX) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Justin J. Crocker, D.S.S.?
The NPI number is 1245358159.
What is the phone number of Justin Crocker?
The phone number listed for the practice location is (817) 567-8040.
Where is Justin Crocker located?
200 E State Highway 114, Roanoke, TX 76262.
What is the taxonomy code for Justin Crocker?
The primary taxonomy code is 1223G0001X – General Practice Dentistry.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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