Dennis M Crockett in Mission Viejo - Plastic Surgery Within The Head & Neck
Dennis M Crockett - NPI 1356362800
Dennis M Crockett is a Plastic Surgery Within The Head & Neck in Mission Viejo, California. Dennis M Crockett practices all healthcare services and medical treatments related to Plastic Surgery Within The Head & Neck. The NPI Number for Dennis M Crockett is 1356362800. The last update date is 2008-11-26.
Dennis M Crockett's current location address is 26726 Crown Valley Pkwy., Mission Viejo, California. You can contact this provider via phone number 9493644361 and fax number 9493644495. The mailing address for Dennis M Crockett is 26726 Crown Valley Pkwy., Mission Viejo, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dennis M Crockett |
|---|---|
| Address | 26726 Crown Valley Pkwy., Mission Viejo, California |
| Phone Number | 9493644361 |
| Fax Number | 9493644495 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1356362800 |
|---|---|
| Provider Enumeration Date | 2006-07-21 |
| Last Updated Date | 2008-11-26 |
Provider Mailing Address Detail
| Address | 26726 Crown Valley Pkwy. |
|---|---|
| City | Mission Viejo |
| State | California (CA) |
| Post Code | 92691 |
| Phone Number | 9493644361 |
| Fax Number | 9493644495 |
Provider's Primary Taxonomy Detail
| Speciality | Plastic Surgery Within The Head & Neck |
|---|---|
| Taxonomy | 207Yx0007X |
| Licence No | G42104 |
|
Definition: An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissu |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| W8109 | GEL PTAN | ||
| 00G421040 | CA | -- |
Post Comment/ Review Below
What is the Dennis M Crockett's unique identification number?
The Dennis M Crockett has been assigned the NPI (National Provider Identifier) Number 1356362800 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Dennis M Crockett's facilities are situated?
The facilities of Dennis M Crockett are physically located at the following address: 26726 Crown Valley Pkwy., Mission Viejo, CA, 92691.
What is Dennis M Crockett's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Dennis M Crockett is Plastic Surgery Within The Head & Neck, and the taxonomy code that categorizes this field of expertise is 207Yx0007X.
When did Dennis M Crockett receive its 1356362800 assignment?
The Dennis M Crockett was assigned its 1356362800 on 2006-07-21, which is the date when this unique identifier was issued to the organization.
As of what date were the Dennis M Crockett's details last updated?
The information pertaining to the Dennis M Crockett, including its address, specialty, and other details, was most recently updated on 2008-11-26.