Individual
DR. DANNY BRANDON CROCKARELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
101 COUCHVILLE PIKE, MOUNT JULIET, TN 37122-4728
(615) 714-6312
Mailing address
101 COUCHVILLE PIKE, MOUNT JULIET, TN 37122-4728
(615) 714-6312
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4336
TN
Other
Enumeration date
12/21/2006
Last updated
06/27/2024
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