Lynette S Crocker in Durham - General Practice

Lynette S Crocker - NPI 1275628653

Lynette S Crocker is a General Practice in Durham, North Carolina. Lynette S Crocker practices all healthcare services and medical treatments related to General Practice. The NPI Number for Lynette S Crocker is 1275628653. The last update date is 2013-11-19.

Lynette S Crocker's current location address is 6104 Fayetteville Road, Durham, North Carolina. You can contact this provider via phone number 9195446727 and fax number 9194841434. The mailing address for Lynette S Crocker is 6104 Fayetteville Road, Durham, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Lynette S Crocker
Address 6104 Fayetteville Road, Durham, North Carolina
Phone Number 9195446727
Fax Number 9194841434
Sole Proprietor Y
Credentials DDS

NPI Number Detail

NPI Number 1275628653
Provider Enumeration Date 2006-10-03
Last Updated Date 2013-11-19

Provider Mailing Address Detail

Address 6104 Fayetteville Road
City Durham
State North Carolina (NC)
Post Code 277136283
Phone Number 9195446727
Fax Number 9194841434

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 6727
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
899009V NC --

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FAQs about Lynette S Crocker

What is the unique identifier code issued to Lynette S Crocker by the Centers for Medicare & Medicaid Services (CMS)?

The Lynette S Crocker has been assigned the NPI (National Provider Identifier) 1275628653. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please provide the complete street address where Lynette S Crocker is physically located?

The Lynette S Crocker is physically situated at the following address: 6104 Fayetteville Road, Durham, NC, 277136283.

What is Lynette S Crocker's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Lynette S Crocker is General Practice, and the taxonomy code that categorizes this field of expertise is 1223G0001X.

When did Lynette S Crocker receive its 1275628653 assignment?

The Lynette S Crocker was assigned its 1275628653 on 2006-10-03, which is the date when this unique identifier was issued to the organization.

As of what date were the details related to Lynette S Crocker most recently updated or revised?

The information pertaining to Lynette S Crocker, including its address, specialty, and other relevant details, was last updated or revised on 2013-11-19.

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