Individual
DR. JAMES EVERETT CROCKETT JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1787 WILLOW CREEK RD, PRESCOTT, AZ 86301-1154
(928) 445-8980
(928) 445-4117
Mailing address
1787 WILLOW CREEK RD, PRESCOTT, AZ 86301-1154
(928) 445-8980
(928) 445-4117
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2182
AZ
1223G0001X
General Practice Dentistry
25501
CA
Other
Enumeration date
08/02/2006
Last updated
07/08/2007
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