Individual
DR. MARY WHITAKER CROCKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
102 S VENTURE DR, GREENVILLE, SC 29615-3571
(864) 234-9800
(864) 234-9820
Mailing address
102 S VENTURE DR, GREENVILLE, SC 29615-3571
(864) 234-9800
(864) 234-9820
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
SC3486
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZA9507
—
SC
Enumeration date
10/16/2006
Last updated
07/09/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us