What is Mary Crockett's NPI number?

Mary Crockett's National Provider Identifier (NPI) is 1194805143, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Mary Crockett's specialty?

Mary Crockett is listed in the NPPES registry with a primary specialty of Pediatric Dentistry (Dental Providers).

Where is Mary Crockett located?

Mary Crockett's practice location on file with NPPES is 102 S Venture Dr, Greenville, SC 29615-3571.

What is Mary Crockett's phone number?

The practice phone number listed in the NPPES registry for Mary Crockett is (864) 234-9800.

Is Mary Crockett's NPI active?

Yes — Mary Crockett's NPI (1194805143) is active in the NPPES registry as of the last update on 2007-07-09.

IndividualActive

Mary Crockett, D.M.D.

NPI 1194805143 · Pediatric Dentistry · Greenville, SC

Mary Crockett, D.M.D. is a Pediatric Dentistry provider in Greenville, SC (NPI 1194805143).

Provider details

NPI number: 1194805143
Entity type: Individual
Primary specialty: Pediatric DentistryDental Providers
Credential: D.M.D.
Sex: Female
Sole proprietor: Yes
License: SC3486 (SC)

Specialties & taxonomies

Pediatric DentistryPrimary1223P0221XLicense SC3486 (SC)
Dental Providers

Profile Score

Detailed profile(90/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
19 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

102 S Venture Dr

Greenville, SC 29615-3571

Phone: (864) 234-9800

Fax: (864) 234-9820

Street-level locationGet directions

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Mailing address