Deidre Berger Crockett in Columbia - General Practice
Deidre Berger Crockett - NPI 1003978099
Deidre Berger Crockett is a General Practice in Columbia, South Carolina. Deidre Berger Crockett practices all healthcare services and medical treatments related to General Practice. The NPI Number for Deidre Berger Crockett is 1003978099. The last update date is 2007-07-08.
Deidre Berger Crockett's current location address is 5251 Forest Dr, Columbia, South Carolina. You can contact this provider via phone number 8037879793 and fax number 8037380300. The mailing address for Deidre Berger Crockett is 5251 Forest Dr, Columbia, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Deidre Berger Crockett |
|---|---|
| Address | 5251 Forest Dr, Columbia, South Carolina |
| Phone Number | 8037879793 |
| Fax Number | 8037380300 |
| Sole Proprietor | N |
| Credentials | D.M.D. |
NPI Number Detail
| NPI Number | 1003978099 |
|---|---|
| Provider Enumeration Date | 2006-12-15 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 5251 Forest Dr |
|---|---|
| City | Columbia |
| State | South Carolina (SC) |
| Post Code | 292064920 |
| Phone Number | 8037879793 |
| Fax Number | 8037380300 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 4192 |
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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. |
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What is the unique identification code assigned to Deidre Berger Crockett by the Centers for Medicare & Medicaid Services?
The Deidre Berger Crockett has been issued the NPI (National Provider Identifier) 1003978099. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Deidre Berger Crockett is physically located?
The Deidre Berger Crockett is physically situated at the following address: 5251 Forest Dr, Columbia, SC, 292064920.
What is Deidre Berger Crockett's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Deidre Berger Crockett is General Practice, and the taxonomy classification code that categorizes this area of expertise is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services assign the 1003978099 to Deidre Berger Crockett?
The Centers for Medicare & Medicaid Services assigned the 1003978099 to Deidre Berger Crockett on 2006-12-15.
As of what date was the information regarding Deidre Berger Crockett, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Deidre Berger Crockett, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.