NPI 1003978099
Deidre Berger Crockett, DMD
Practice location
- Address
- 5251 Forest Dr, Columbia, SC 29206-4920
- Phone
- (803) 787-9793
- Fax
- (803) 738-0300
Registered specialties
General Practice Dentistry
Primary
Registry record
- NPI
- 1003978099
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 15 Dec 2006
- Record last updated
- 8 Jul 2007
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.