Individual
HEATHER MARIE CROCKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
240 PARSONS AVE FL 2, COLUMBUS, OH 43215-5331
(614) 645-7487
(614) 645-7080
Mailing address
3433 AGLER RD STE 2800, COLUMBUS, OH 43219-3389
(614) 859-1906
(614) 458-1849
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
010471
CT
1223G0001X
General Practice Dentistry
Primary
30.023011
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0189670
—
OH
Enumeration date
06/04/2008
Last updated
09/12/2025
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