Individual
DR. BENJAMIN CROCKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
385 S COLUMBIA ST, CHAPEL HILL, NC 27599-0001
(919) 537-3737
Mailing address
4607 S NEPAL WAY, AURORA, CO 80015-5567
(949) 322-7697
Taxonomy
Speciality
Code
Description
License number
State
1223X0008X
Oral and Maxillofacial Radiology Dentistry
Primary
51203
NC
Other
Enumeration date
07/13/2018
Last updated
04/07/2022
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