Charles L. Crocker, DDS

General Practice Dentistry · Monticello, FL

Individual Active NPI

NPI number 1487661963

Practice location

952 Mahan Dr
Monticello, FL 32344-1136
Phone
(850) 997-3984

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NPI record

NPI
1487661963
Entity type
Individual (Type 1)
Enumeration date
August 1, 2006
Last updated
July 21, 2022
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X DN 7229 FL

Mailing address

952 W Mahan Dr
Monticello, FL 32344
Phone
(850) 997-3984

About Dr. Crocker

Charles L. Crocker, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 952 Mahan Dr, Monticello, FL 32344-1136. The NPI number 1487661963 was assigned on August 1, 2006 and the record was last updated on July 21, 2022.

Dr. Crocker lists a license in the registry: #DN 7229 (FL) 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 Charles L. Crocker, DDS?

The NPI number is 1487661963.

What is the phone number of Dr. Crocker?

The phone number listed for the practice location is (850) 997-3984.

Where is Dr. Crocker located?

952 Mahan Dr, Monticello, FL 32344-1136.

What is the taxonomy code for Dr. 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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