| Brian E. Crock DDS MS Inc | |
|
175 Mcmillen Dr Newark OH 43055-1810 | |
| (740) 344-3372 | |
| Not Available |
| Full Name | Brian E. Crock DDS MS Inc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 175 Mcmillen Dr, Newark, Ohio |
| Authorized Official Name and Position | Brian E Crock (PRESIDENT) |
| Authorized Official Contact | 7403443372 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brian E. Crock DDS MS Inc 175 Mcmillen Dr Newark OH 43055-1810 Ph: (740) 344-3372 | Brian E. Crock DDS MS Inc 175 Mcmillen Dr Newark OH 43055-1810 Ph: (740) 344-3372 |
| NPI Number | 1215100698 |
|---|---|
| Provider Enumeration Date | 04/08/2008 |
| Last Update Date | 04/08/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215100698 | NPI | - | NPPES |
| 0970436 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (NU) | Primary |
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