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NPI · 1124245626 · NPPES-sourced

Crockett Pediatric Dentistry, P.A.

ActivePediatric Dentistry
NPI Number
1124245626
Type 2 · Organisation
Taxonomy Code
1223P0221X
Contact
(864) 234-9800
License SC · SC3486
Last Updated
Enumerated
Primary practice addressSC · 29615-3571
102 S Venture DrGreenville, SC 29615-3571
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About this NPIWhat this record shows.

NPI 1124245626 is registered to Crockett Pediatric Dentistry, P.A., a healthcare organisation classified as "Pediatric Dentistry" and located at 102 S Venture Dr in Greenville, South Carolina. The organisation's authorised official is Jerry Crockett. The organisation has been enumerated in the NPI registry since 2007.

Provider type
Organisation (Type 2)
Status
Active
Enumerated
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Secondary identifiers

Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.

Medicaid

Source: NPPES public registry.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Crockett Pediatric Dentistry, P.A. accepts. To confirm in-network status with your specific health plan, contact Crockett Pediatric Dentistry, P.A. directly at (864) 234-9800.

Frequently asked

Yes. NPI 1124245626 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Pediatric Dentistry is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (864) 234-9800.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Crockett Pediatric Dentistry, P.A. is a Type-2 organisational NPI.

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Quick facts

Provider typeOrganisation
Taxonomy1223P0221X
Last updated
Enumerated
StatusActive
Partneri
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