# 3RDMOLAR PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033679337
- **Authorized official:** DR. JEFFREY DAVID CROARKIN DDS (OWNER/PROVIDER)
- **Authorized official phone:** (512) 560-0568

## Contact information

- **Practice address:** 5072 WEST PLANO PKWY \#100, PLANO, TX 75093-3044
- **Practice address phone:** (972) 267-6244
- **Mailing address:** 9204 ASKEW ST, FORT WORTH, TX 76244-6041
- **Mailing address phone:** (512) 560-0568

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 03/22/2019
- **Last updated:** 10/24/2019
